Active NPI
Yamilette Rivera Rivera, MD
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1205328341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21347
- Practice address
- Centro Medico Barrio Monacillos
San Juan, PR 00936 - Phone
- (787) 480-2805
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31024 | MS | |
| Emergency Medicine Physician | 207P00000X | 21347 | PR | Primary |
Addresses
Primary practice location
Centro Medico Barrio Monacillos
San Juan, PR 00936
Mailing address
47 Calle Rocio
Urb Paseo de Las Brumas
Cayey, PR 00736
Phone (787) 605-3146
Other practice location 1
150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 432-1571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31024 | MS | MD | Emergency Medicine Physician |
| 21347 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Mississippi Emergency Department Services PC | Emergency Medicine | Current | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Biloxi, MS
- NPI 1467410936
-
- Emergency Medicine Physician
- Pascagoula, MS
- NPI 1881427961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1205328341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 CALLE ROCIO",
"address_2": "URB PASEO DE LAS BRUMAS",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-605-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO MEDICO BARRIO MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-480-2805"
}
],
"practiceLocations": [
{
"address_1": "150 Reynoir St",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395304130",
"country_code": "US",
"telephone_number": "228-432-1571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA RIVERA",
"first_name": "YAMILETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "31024",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "21347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Llelenys Paola Rivera Rivera, DMD
- Lydia Raquel Rivera Rivera, O.T.A.
- Odette S Rivera Rivera, MCSW
- Omayra Rivera Rivera, PH.D.
- Paola Marie Rivera Rivera
- Jamie Lee Rivera Robles, PHARMD
- Cristina Maria Rivera Rodriguez, ND
- Jessica Marie Rivera Rodriguez
- Jose Julian Rivera Rodriguez, MD
- Luz Delia Rivera Rodriguez, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.