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DR. EDWIN NELSON PEGUERO RIVERA M.D. NPI 1972569291


NPI Information

NPI: 1972569291
Provider Name: DR. EDWIN NELSON PEGUERO RIVERA, M.D.
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

Organization: H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC

PECOS Registration: Yes

Address:
4714 N ARMENIA AVE STE 202
TAMPA, FL
ZIP 33603
Phone: (813) 443-6957
Get Directions

DR. Edwin Nelson Peguero Rivera, M.D. is a clinical neurophysiology psychiatry neurology in Tampa, FL with 38 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Edwin Nelson Peguero Rivera, M.D. NPI is 1972569291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PONCE SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

4714 N ARMENIA AVE STE 202
TAMPA, FL
ZIP 33603-603
Phone: (813) 443-6957
Fax: (813) 443-4891

The NPI 1972569291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 9/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0600XPsychiatry & NeurologyClinical Neurophysiology12476PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E90247MEDICARE UPINFLORIDA
215247AMEDICARE ID-TYPE UNSPECIFIEDFLORIDAPROVIDER NUMBER
3E90247MEDICARE UPINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.