Provider Demographics
NPI:1922585975
Name:ORIVE, CARLOS E (ARNP)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:E
Last Name:ORIVE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:CARLOS
Other - Middle Name:E
Other - Last Name:ORIVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:606 ALMANSA ST NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-3121
Mailing Address - Country:US
Mailing Address - Phone:305-494-8626
Mailing Address - Fax:
Practice Address - Street 1:4450 W EAU GALLIE BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32934-7213
Practice Address - Country:US
Practice Address - Phone:321-372-8567
Practice Address - Fax:321-752-2595
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9367177363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner