Sarah Rivera de Pena, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

24527 Issued in PR

Practice address

525 F.D. Roosevelt Avenue
La Torre de Plaza, Suite 409
San Juan, PR 00918

Phone

(409) 747-3376

Fax

(409) 772-4456

NPI assigned

Mar 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sr Dermatology LLC

  • Dermatology Physician
  • San Juan, PR
  • NPI 1457267106
  NPD (past) Authorized official

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

{
    "created_epoch": "1584144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1114553724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 F.D. ROOSEVELT AVENUE",
            "address_2": "LA TORRE DE PLAZA, SUITE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "409-747-3376",
            "fax_number": "409-772-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DE PENA",
        "first_name": "SARAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "24527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Del Mar Rivera Cruz, MD
• Kevin Manuel Rivera Cuadrado, PHARMD
• Laura C. Rivera Davila, MD, MPH
• Heide M Rivera de Jesus
• Jon Marco Rivera de Jesus
• Jonathan Eduardo Rivera Declet
• Nashalie Enid Rivera Delfi
• Nycolle Rivera Diaz
• Victoria Samantha Rivera Diaz
• Paola Rivera Dilan

• Dermatology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.