Iveliza Rivera Rivera, MD
Individual provider Active NPI General Practice Physician · Mayaquez, PR
NPI 1154415339 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154415339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 6858 (PR)
- Practice address
- Calle McKinley 151E Ofic 3
Mayaquez, PR 00680 - Phone
- (787) 831-6199
- Fax
- (787) 831-6199
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007000414 | PR | Practitioner - General Practice | 4486846540 | Practice locations: Mayaguez, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 6858 | PR | Yes |
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
Other providers in Mayaquez, PR
- Juan Carlos Garcia
- Gracias Ambulance Service
- Mildred Maury Martinez
- Lymaris Mercado
- Gloria I Ponce
- Maria Roman
All providers in Mayaquez, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.