Individual provider Active NPI

Normarie Herrera Rivera

  • Clinical Pathology/Laboratory Medicine Physician
  • San Juan, PR
National Provider Identifier
1063077089
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
23344 Issued in PR
Practice address
300 Ave Domenech
San Juan, PR 00918-3509
Phone
(787) 765-7320
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 23344 PR Primary

Addresses

Primary practice location

300 Ave Domenech
San Juan, PR 00918-3509

Mailing address

300 Ave Domenech
San Juan, PR 00918-3509
Phone (787) 765-7320

Other practice location 1

Expreso Luis A Ferre Salida 21 Carr 172
Urb Turabo Gardens
Caguas, PR 00726
Phone (787) 743-3038

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23344PRMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc CurrentSince Aug 27, 2023 Accepting new patients
Hato Rey Pathology Associates,PSC PastSince Aug 27, 2023 Accepting new patients

Locations

300 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 758-3220

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.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1063077089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183509",
            "telephone_number": "787-765-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183509",
            "telephone_number": "787-765-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Expreso Luis A Ferre Salida 21 Carr 172",
            "address_2": "Urb Turabo Gardens",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "00726",
            "country_code": "US",
            "telephone_number": "787-743-3038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-7977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA RIVERA",
        "first_name": "NORMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "PR",
            "license": "23344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.