Active NPI
Giovanni Rivera, OPT
- Optician
- San Juan, PR
National Provider Identifier
1104501337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1298
- Practice address
- 2020 Ave Borinquen
San Juan, PR 00915-3822 - Phone
- (787) 268-4171
- NPI assigned
- Jun 15, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1298 | PR | Primary |
Addresses
Primary practice location
2020 Ave Borinquen
San Juan, PR 00915-3822
Mailing address
Urb. Lomas de Country Club
U-47 Calle 17
Ponce, PR 00730
Phone (787) 298-0316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1298 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1104501337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. LOMAS DE COUNTRY CLUB",
"address_2": "U-47 CALLE 17",
"city": "PONCE",
"state": "PR",
"postal_code": "00730",
"telephone_number": "787-298-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 AVE BORINQUEN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009153822",
"telephone_number": "787-268-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GIOVANNI",
"credential": "OPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "1298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.