Teddy Dorival
NPI 1417636549 · Medical Physician Assistant · Miami, FL
Teddy Dorival is a Medical Physician Assistant provider in Miami, FL (NPI 1417636549).
Provider details
- NPI number
- 1417636549
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PACN140 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-17
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Teddy Dorival's NPI number?
- Teddy Dorival's National Provider Identifier (NPI) is 1417636549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teddy Dorival's specialty?
- Teddy Dorival is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Teddy Dorival located?
- Teddy Dorival's practice location on file with NPPES is 12600 Nw 19th Ave, Miami, FL 33167-2159.
- What is Teddy Dorival's phone number?
- The practice phone number listed in the NPPES registry for Teddy Dorival is (305) 842-0171.
- Is Teddy Dorival's NPI active?
- Yes — Teddy Dorival's NPI (1417636549) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.