Active NPI
Gabriel Rivera Leon, DC
- Chiropractor
- San Juan, PR
National Provider Identifier
1134699622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 656
- Practice address
- Calle Almonte, Torres de Andalucia T-1
Apt.1402
San Juan, PR 00926 - Phone
- (787) 640-2755
- NPI assigned
- Nov 28, 2018
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 656 | PR | Primary |
Addresses
Primary practice location
Calle Almonte, Torres de Andalucia T-1
Apt.1402
San Juan, PR 00926
Mailing address
Calle Almonte, Torres de Andalucia T-1
Apt.1402
San Juan, PR 00926
Phone (787) 640-2755
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 |
|---|---|---|---|
| 656 | PR | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1134699622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE ALMONTE, TORRES DE ANDALUCIA T-1",
"address_2": "APT.1402",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-640-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ALMONTE, TORRES DE ANDALUCIA T-1",
"address_2": "APT.1402",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-640-2755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA LEON",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "656",
"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 Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.