Andres Rivera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

210 Issued in PR

Practice address

Calle Iguina #3
Tu Centro de Vision Integral
Camuy, PR 00627-2624

Phone

(787) 820-4622

Fax

(787) 820-4622

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Andres Rivera Pacheco

  • Optometrist
  • Camuy, PR
  • NPI 1295086569
  NPD (past) Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053429217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MG-20 PLAZA 40",
            "address_2": "MARINA BAHIA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009626786",
            "telephone_number": "787-717-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE IGUINA #3",
            "address_2": "TU CENTRO DE VISION INTEGRAL",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006272624",
            "telephone_number": "787-820-4622",
            "fax_number": "787-820-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANDRES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Onell Rivera Morales
• Axel Manuel Rivera Reyes, PSYD
• Leslie Yaren Rivera Roman
• Jerick Noel Rivera Ruiz
• Camille Andrea Rivera Sandoval, DC
• Angel Rivera, RN
• Awilda E Rivera, RNBSN
• Gladysbel Rivera
• Lorenzo Rivera, MD
• Maria I Rivera

• Optometrist in Camuy, PR
• Providers in Camuy, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.