Individual provider Active NPI

Rosamar Donis Rivera, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1134359219
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17616 Issued in PR
Practice address
Carolina Alta
Milagros Cabeza J10
Carolina, PR 00987-7133
Phone
(787) 513-1785
NPI assigned
Jul 22, 2009
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17616 PR Primary

Addresses

Primary practice location

Carolina Alta
Milagros Cabeza J10
Carolina, PR 00987-7133

Mailing address

Carolina Alta
Milagros Cabeza J10
Carolina, PR 00987-7133
Phone (787) 513-1785

Other names 1

  • Dr. Rosamar Donis Rivera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000504 PR Practitioner - General Practice 7618118811 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1134359219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAROLINA ALTA",
            "address_2": "MILAGROS CABEZA J10",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877133",
            "telephone_number": "787-513-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA ALTA",
            "address_2": "MILAGROS CABEZA J10",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877133",
            "telephone_number": "787-513-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONIS RIVERA",
        "first_name": "ROSAMAR",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSAMAR",
            "last_name": "DONIS RIVERA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.