NPIMap

Organization Active NPI

Ivette L Cruz Rivera

  • Physical Medicine & Rehabilitation Physician
  • San German, PR
National Provider Identifier
1083354237
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
IVETTE L CRUZ RIVERA
Practice address
San German Medical Plaza Suite 207
Carr 2 KM 174.0
San German, PR 00683-9340
Phone
(787) 892-3513
Fax
(787) 892-7422
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Ivette L Cruz RiveraNPI 1326056615
Title
Medico
Phone
(787) 892-3513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

San German Medical Plaza Suite 207
Carr 2 KM 174.0
San German, PR 00683-9340

Mailing address

HC 3 Box 25716
San German, PR 00683-9340
Phone (787) 892-3513

Other names 1

  • IVETTE L CRUZ RIVERA Doing business as

National Provider Directory

National Provider Directory

Locations

25716 HC 3
San German, PR 00683

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1083354237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 25716",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839340",
            "telephone_number": "787-892-3513",
            "fax_number": "787-892-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN GERMAN MEDICAL PLAZA SUITE 207",
            "address_2": "CARR 2 KM 174.0",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839340",
            "telephone_number": "787-892-3513",
            "fax_number": "787-892-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVETTE L CRUZ RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ RIVERA",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-892-3513",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVETTE L CRUZ RIVERA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.