Active NPI
Grisell Rivera Alicea, MD
- General Practice Physician
- Ponce, PR
National Provider Identifier
1033317656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11615
- Practice address
- Edif Parras
Ste 105
Ponce, PR 00717-1321 - Phone
- (787) 259-1230
- Fax
- (787) 259-1585
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11615 | PR | Primary |
Addresses
Primary practice location
Edif Parras
Ste 105
Ponce, PR 00717-1321
Mailing address
2225 Ponce by Pass Edif Parras
Ste 105
Ponce, PR 00717-1320
Phone (787) 259-1230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11615 | Other | PR | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1033317656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS EDIF PARRAS",
"address_2": "STE 105",
"city": "PONCE",
"state": "PR",
"postal_code": "007171320",
"telephone_number": "787-259-1230",
"fax_number": "787-259-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF PARRAS",
"address_2": "STE 105",
"city": "PONCE",
"state": "PR",
"postal_code": "007171321",
"telephone_number": "787-259-1230",
"fax_number": "787-259-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA ALICEA",
"first_name": "GRISELL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "11615",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.