Individual provider Active NPI

Iveliza Rivera Rivera, MD

  • General Practice Physician
  • Mayaquez, PR
National Provider Identifier
1154415339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6858 Issued in PR
Practice address
Calle McKinley 151E Ofic 3
Mayaquez, PR 00680
Phone
(787) 831-6199
Fax
(787) 831-6199
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6858 PR Primary

Addresses

Primary practice location

Calle McKinley 151E Ofic 3
Mayaquez, PR 00680

Mailing address

Calle McKinley 151E Ofic 3
Mayaquez, PR 00680
Phone (787) 831-6199

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
I20101007000414 PR Practitioner - General Practice 4486846540 Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6858PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154415339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MCKINLEY 151E OFIC 3",
            "city": "MAYAQUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-6199",
            "fax_number": "787-831-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MCKINLEY 151E OFIC 3",
            "city": "MAYAQUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-831-6199",
            "fax_number": "787-831-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "IVELIZA",
        "middle_name": "RIVERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaquez, PR

Sources for this page

Verify at the official NPI Registry.