Individual provider Active NPI

Alejandro Anibal Rivera, M.D.

  • General Practice Physician
  • Coto Laurel, PR
National Provider Identifier
1154633659
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17865 Issued in PR
Practice address
Hospital San Cristobal Carr. 506
Coto Laurel, PR 00780-0501
Phone
(787) 315-0306
NPI assigned
Jul 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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 17865 PR Primary

Addresses

Primary practice location

Hospital San Cristobal Carr. 506
Coto Laurel, PR 00780-0501

Mailing address

PO Box 800306
Coto Laurel, PR 00780-0306
Phone (787) 315-0306

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
I20130115000370 PR Practitioner - General Practice 1456504844 Practice locations: Ponce, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1154633659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800306",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800306",
            "telephone_number": "787-315-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL SAN CRISTOBAL CARR. 506",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800501",
            "telephone_number": "787-315-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ALEJANDRO",
        "middle_name": "ANIBAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.