Individual provider Active NPI

Nitza Hebe Rivera, M.D.

  • Pediatrics Physician
  • Guaynabo, PR
National Provider Identifier
1194858449
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6311 Issued in PR
Practice address
41 Calle Caoba
Estancias de Torrimar
Guaynabo, PR 00966-3165
Phone
(787) 756-4020
Fax
(787) 756-5480
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6311 PR Primary

Addresses

Primary practice location

41 Calle Caoba
Estancias de Torrimar
Guaynabo, PR 00966-3165

Mailing address

41 Calle Caoba
Estancias de Torrimar
Guaynabo, PR 00966-3165
Phone (787) 782-9676

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6311PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194858449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CALLE CAOBA",
            "address_2": "ESTANCIAS DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663165",
            "telephone_number": "787-782-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE CAOBA",
            "address_2": "ESTANCIAS DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663165",
            "telephone_number": "787-756-4020",
            "fax_number": "787-756-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NITZA",
        "middle_name": "HEBE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "6311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, 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.

Verify at the official NPI Registry.