Individual provider Active NPI

Fiorella Rodriguez Rivera, MD

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1164047742
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21862 Issued in PR
Practice address
Carr. 844 KM 0.5, Cupey Bajo
Rio Piedras, PR 00928
Phone
(787) 761-8383
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 21862 PR Primary

Addresses

Primary practice location

Carr. 844 KM 0.5, Cupey Bajo
Rio Piedras, PR 00928

Mailing address

PO Box 6143
Mayaguez, PR 00681-6143
Phone (787) 515-8332

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
I20210420002829 PR Practitioner - General Practice 4789092396 Practice locations: Aasco, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21862PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gerardo Ortiz Lozano-Fisiatra P.S.C. PastSince Jun 14, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1164047742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6143",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816143",
            "telephone_number": "787-515-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 844 KM 0.5, CUPEY BAJO",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-761-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "FIORELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.