Organization Active NPI

Dra Valenie Rivera Roig PSC

  • Dermatology Physician
  • Ponce, PR
National Provider Identifier
1124430467
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14868 Issued in PR
Legal business name
DRA VALENIE RIVERA ROIG PSC
Practice address
909 Ave Tito Castro Ste 804
Torre Medica San Lucas
Ponce, PR 00716-4725
Phone
(787) 648-8115
Fax
(787) 651-1498
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Valenie Rivera Roig, MD
Title
President
Phone
(787) 648-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 14868 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro Ste 804
Torre Medica San Lucas
Ponce, PR 00716-4725

Mailing address

909 Ave Tito Castro Ste 804
Torre Medica San Lucas
Ponce, PR 00716-4725
Phone (787) 648-8115

Other identifiers 1

IdentifierTypeStateIssuer
337401OtherPRCERTIFICADO DE REGISTRO DEPARTAMENTO DE ESTADO DE PUERTO RICO

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 804
Ponce, PR 00716
Phone (787) 648-8115

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1124430467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 804",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-648-8115",
            "fax_number": "787-651-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 804",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164725",
            "telephone_number": "787-648-8115",
            "fax_number": "787-651-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA VALENIE RIVERA ROIG PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "ROIG",
        "authorized_official_first_name": "VALENIE",
        "authorized_official_middle_name": "RIVERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-648-8115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "14868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICADO DE REGISTRO DEPARTAMENTO DE ESTADO DE PUERTO RICO",
            "identifier": "337401",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.