Sheila Rivera Octtaviani, M.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

754 Issued in PR

Practice address

2213 Ponce by Pass
Ponce, PR 00717

Phone

(787) 840-8686

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ponce Pulmonary Group

  • Pulmonary Disease Physician
  • Ponce, PR
  • NPI 1710927926
  NPD (past)
• Eugene Speech Therapy LLC

  • Speech-Language Pathologist
  • Eugene, OR
  • NPI 1710450697
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1164601803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150216",
            "telephone_number": "787-840-8284",
            "fax_number": "787-844-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Ponce By Pass",
            "address_2": "Parra 703",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007171321",
            "country_code": "US",
            "telephone_number": "787-840-8284",
            "fax_number": "787-844-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA OCTTAVIANI",
        "first_name": "SHEILA",
        "credential": "M.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2021-05-17",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose D Rivera Miranda, MD
• Rivera Morales Dental Studio LLC
• Darymar Rivera Morales
• Ricardo Manuel Rivera Muniz
• Alana Rivera Negron
• Adam Rivera Olivera
• Paula Isabel Rivera Ortega
• Gilberto Jose Rivera Ortiz
• Nehemesis Rivera Ortiz, MD
• Ricardo Alexander Rivera Ortiz, MD

• Speech-Language Pathologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.