Lizmary Rivera Davila

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

988 Issued in PR

Practice address

49 Calle Baldorioty
Coamo, PR 00769-3122

Phone

(787) 803-3604

NPI assigned

Oct 19, 2022

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Chiropractic Care LLC

  • Chiropractor
  • Juana Diaz, PR
  • NPI 1699534735
  Medicare reassignment NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1083331128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690436",
            "telephone_number": "787-803-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693122",
            "telephone_number": "787-803-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Calle F Degetau",
            "address_purpose": "LOCATION",
            "city": "Juana Diaz",
            "state": "PR",
            "postal_code": "007951687",
            "country_code": "US",
            "telephone_number": "939-928-9221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA DAVILA",
        "first_name": "LIZMARY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14273",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elynoel Reyes Torres, SOCIAL WORK
• Camille Milagros Rios Ortiz, FNP
• Sheila Janira Rivas Mateo
• Nydia Yaimi Rivas
• Stephanie Rivera Alvarado, MS
• Judibelle Rivera de Jesus, MD
• Jose G Rivera Guilbe, M.D.
• Rosa Angelica Rivera Hernandez, PHD
• Yesaira Rivera Lopez
• William Rivera Rosa, MSW

• Chiropractor in Coamo, PR
• Providers in Coamo, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.