Active NPI
Christian Joel Rivera
- Registered Nurse
- Ponce, PR
National Provider Identifier
1134844012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 83927
- Practice address
- Urb. Ext. Jardines del Caribe 4353 Calle 58
Ponce, PR 00728 - Phone
- (787) 614-6070
- NPI assigned
- Oct 4, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 83927 | PR | Primary |
Addresses
Primary practice location
Urb. Ext. Jardines del Caribe 4353 Calle 58
Ponce, PR 00728
Mailing address
Urb. Ext. Jardines del Caribe 4352 Calle 58
Ponce, PR 00728
Phone (787) 614-6070
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 |
|---|---|---|---|
| 83927 | PR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1134844012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. EXT. JARDINES DEL CARIBE 4352 CALLE 58",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-614-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. EXT. JARDINES DEL CARIBE 4353 CALLE 58",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-614-6070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CHRISTIAN",
"middle_name": "JOEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PR",
"license": "83927",
"primary": true
}
],
"identifiers": [],
"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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.