Individual provider Active NPI

Lady Rivera

  • Private Vehicle
  • Barceloneta, PR
National Provider Identifier
1235673187
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
4764057 Issued in PR
Practice address
7-1 Bo Palenque 1a
Barceloneta, PR 00617
Phone
(413) 275-9406
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 4764057 PR
Secured Medical Transport (VAN) 343800000X 4764057 PR
Non-emergency Medical Transport (VAN) 343900000X 4764057 PR
Private Vehicle 347C00000X 4764057 PR Primary

Addresses

Primary practice location

7-1 Bo Palenque 1a
Barceloneta, PR 00617

Mailing address

7-1 Bo Palenque 1a
Barceloneta, PR 00617
Phone (413) 275-9406

Other identifiers 1

IdentifierTypeStateIssuer
1001442-0010OtherPRSURI - HACIENDA

Other names 1

  • Health Transport Other name

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

LicenseStateTypeSpecialty
4764057PRMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1235673187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7-1 BO PALENQUE 1A",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "413-275-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7-1 BO PALENQUE 1A",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "413-275-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LADY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "PR",
            "license": "4764057",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "PR",
            "license": "4764057",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PR",
            "license": "4764057",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "PR",
            "license": "4764057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURI - HACIENDA",
            "identifier": "1001442-0010",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEALTH",
            "last_name": "TRANSPORT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.