Individual provider Active NPI

Yaidelisse Andrea Rivas Rivera, DC

  • Chiropractor
  • Carolina, PR
National Provider Identifier
1013738426
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1062 Issued in PR
Practice address
146 Calle 2B
Carolina, PR 00985-5906
Phone
(939) 355-0155
NPI assigned
Oct 18, 2024
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1062 PR Primary

Addresses

Primary practice location

146 Calle 2B
Carolina, PR 00985-5906

Mailing address

146 Calle 2B
Carolina, PR 00985-5906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325003357 PR Practitioner - Chiropractic 6800371097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

GG6 Calle Marquesa
Carolina, PR 00987

PO Box
San Juan, PR 00936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1062PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florece Quiropractica Familiar LLC Chiropractor Current Accepting new patients
Integra Quiropractica LLC Chiropractor PastSince May 7, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1013738426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CALLE 2B",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CALLE 2B",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855906",
            "telephone_number": "939-355-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS RIVERA",
        "first_name": "YAIDELISSE",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.