Individual provider Active NPI

Ruth Esther Rivera, M.D.

  • Specialist
  • Ceiba, PR
National Provider Identifier
1053394783
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10921 Issued in PR
Practice address
262 Ave Lauro Pinero
Ceiba, PR 00735-2706
Phone
(787) 885-3674
Fax
(787) 885-3674
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 10921 PR
Specialist 174400000X 10921 PR Primary

Addresses

Primary practice location

262 Ave Lauro Pinero
Ceiba, PR 00735-2706

Mailing address

PO Box 872
Ceiba, PR 00735-0872
Phone (787) 885-3674

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090123000374 PR Practitioner - Internal Medicine 3779647441 Practice locations: Ceiba, PR

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1053394783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007350872",
            "telephone_number": "787-885-3674",
            "fax_number": "787-885-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 AVE LAURO PINERO",
            "city": "CEIBA",
            "state": "PR",
            "postal_code": "007352706",
            "telephone_number": "787-885-3674",
            "fax_number": "787-885-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RUTH",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "10921",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceiba, PR

Sources for this page

Verify at the official NPI Registry.