Active NPI
Paola Enid Rivera
- Optometrist
- Mayaguez, PR
National Provider Identifier
1043914500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 766
- Practice address
- Calle Zafiro 4 Urb. Vista Verde
Mayaguez, PR 00682 - Phone
- (787) 827-8101
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 766 | PR | Primary |
Addresses
Primary practice location
Calle Zafiro 4 Urb. Vista Verde
Mayaguez, PR 00682
Mailing address
HC 3 Box 31301
Aguada, PR 00602-9754
Phone (862) 210-4246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766 | PR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision One Corporation | Optometrist | Current | Accepting new patients |
| Optical Supercenter Arecibo Corp | Optometrist | Current | Accepting new patients |
Locations
88 Calle Cordoba
Aguadilla, PR 00603
Phone (787) 830-9000
3241 Ave Militar
Isabela, PR 00662
Phone (787) 827-8101
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 and National Provider Directory roles.
-
- Optometrist
- Aguadilla, PR
- NPI 1174184204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1043914500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 31301",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029754",
"telephone_number": "862-210-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ZAFIRO 4 URB. VISTA VERDE",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00682",
"telephone_number": "787-827-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PAOLA",
"middle_name": "ENID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.