Active NPI
Olga Rivera
- Medical Technologist
- Manati, PR
National Provider Identifier
1184893877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 1484
- Practice address
- Edif Puerta del Norte
Suite Num 5
Manati, PR 00674-1741 - Phone
- (787) 854-3570
- Fax
- (787) 854-3565
- NPI assigned
- Feb 27, 2008
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 1484 | PR | Primary |
Addresses
Primary practice location
Edif Puerta del Norte
Suite Num 5
Manati, PR 00674-1741
Mailing address
PO Box 1741
Manati, PR 00674-1741
Phone (787) 854-3570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080304000796 | PR | Part B Supplier - Independent Clinical Laboratory | 8123103983 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Manati, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Manati, PR
- NPI 1225028996
O20080304000796
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1184893877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1741",
"city": "MANATI",
"state": "PR",
"postal_code": "006741741",
"telephone_number": "787-854-3570",
"fax_number": "787-854-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF PUERTA DEL NORTE",
"address_2": "SUITE NUM 5",
"city": "MANATI",
"state": "PR",
"postal_code": "006741741",
"telephone_number": "787-854-3570",
"fax_number": "787-854-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "OLGA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "1484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.