Individual provider Active NPI

Rocio Krystal Rivera-Valentin, MD

  • Pediatric Hematology & Oncology Physician
  • San Juan, PR
National Provider Identifier
1134610470
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
23242 Issued in PR
Practice address
Hospital Pediatrico Universitario
Centro Medico Paseo Jose Celso Barbosa Bo. Monacillos
San Juan, PR 00935-0001
Phone
(787) 758-2525
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 14513I PR
Pediatric Hematology & Oncology Physician 2080P0207X 23242 PR Primary

Addresses

Primary practice location

Hospital Pediatrico Universitario
Centro Medico Paseo Jose Celso Barbosa Bo. Monacillos
San Juan, PR 00935-0001

Mailing address

PO Box 5503
Caguas, PR 00726-5503
Phone (787) 930-7582

Other practice location 1

807 Childrens Way
Jacksonville, FL 32207-8426
Phone (904) 697-3789

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
I20231114001614 PR Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 1850748781 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23242PRMDPediatric Hematology & Oncology Physician
14513IPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1134610470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5503",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007265503",
            "telephone_number": "787-930-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PEDIATRICO UNIVERSITARIO",
            "address_2": "CENTRO MEDICO PASEO JOSE CELSO BARBOSA BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-758-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078426",
            "country_code": "US",
            "telephone_number": "904-697-3789",
            "fax_number": "904-697-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-VALENTIN",
        "first_name": "ROCIO",
        "middle_name": "KRYSTAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14513I",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PR",
            "license": "23242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.