Brenda Luz Rivera

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

1458-1 Issued in PR

Practice address

165 Calle Maria Moczo
San Juan, PR 00911-2212

Phone

(787) 635-8721

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1043407265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CALLE MARIA MOCZO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009112212",
            "telephone_number": "787-635-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CALLE MARIA MOCZO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009112212",
            "telephone_number": "787-635-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "BRENDA",
        "middle_name": "LUZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "PR",
            "license": "1458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awilda Rivera, M.D.
• Baltazar Rivera, L.P.N.
• Beatriz D Rivera, PH.D.
• Betsy Rivera
• Brenda Liz Rivera
• Carlos A Rivera
• Carlos Jose Rivera, RPT
• Carmen Rivera
• Carmen G Rivera, DMD
• Carmen I Rivera, RPH

• Speech-Language Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Speech-Language Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.