Active NPI
Alma L Rivera
- Speech-Language Pathologist
- Coamo, PR
National Provider Identifier
1093063919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1095
- Practice address
- Bo Pasto Sector San Luis Carr 14 Ramal 5556
Coamo, PR 00769 - Phone
- (787) 508-2224
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1095 | PR | Primary |
Addresses
Primary practice location
Bo Pasto Sector San Luis Carr 14 Ramal 5556
Coamo, PR 00769
Mailing address
PO Box 1633
Coamo, PR 00769-1633
Phone (787) 508-2224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121026000202 | PR | Practitioner - Qualified Speech Language Pathologist | 2264682368 | Practice locations: Coamo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1093063919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1633",
"city": "COAMO",
"state": "PR",
"postal_code": "007691633",
"telephone_number": "787-508-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO PASTO SECTOR SAN LUIS CARR 14 RAMAL 5556",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-508-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ALMA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.