Active NPI
Ruth Delly Perez Rivera, PHARMACY TECHNICIAN
- Physician Assistant
- Mayaguez, PR
National Provider Identifier
1184831257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AX2500
- Practice address
- Ramos Antonini 104 E
Mayaguez, PR 00680 - Phone
- (787) 832-3284
- Fax
- (787) 832-3284
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AX2500 | PR | Primary |
Addresses
Primary practice location
Ramos Antonini 104 E
Mayaguez, PR 00680
Mailing address
PO Box 4051
Mayaguez, PR 00681-4051
Phone (787) 464-3835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AX2500 | Other | PR | PHARMACY TECHNICIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AX2500 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184831257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4051",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006814051",
"telephone_number": "787-464-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RAMOS ANTONINI 104 E",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-832-3284",
"fax_number": "787-832-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ RIVERA",
"first_name": "RUTH",
"middle_name": "DELLY",
"name_prefix": "Mrs.",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "AX2500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECHNICIAN",
"identifier": "AX2500",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.