Individual provider Active NPI

Ivelisse Rivera

  • Pharmacist
  • Toa Alta, PR
National Provider Identifier
1265078539
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2571 Issued in PR
Practice address
Urb Ciudad Jardin III
272 Calle Eucalipto
Toa Alta, PR 00953
Phone
(787) 604-5538
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2571 PR Primary

Addresses

Primary practice location

Urb Ciudad Jardin III
272 Calle Eucalipto
Toa Alta, PR 00953

Mailing address

Urb Ciudad Jardin III
272 Calle Eucalipto
Toa Alta, PR 00953-4873
Phone (787) 604-5538

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caridad22@caridadpr.com

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
2571PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1265078539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB CIUDAD JARDIN III",
            "address_2": "272 CALLE EUCALIPTO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534873",
            "telephone_number": "787-604-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB CIUDAD JARDIN III",
            "address_2": "272 CALLE EUCALIPTO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-604-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "IVELISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caridad22@caridadpr.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "address_1": "Santa Rosa Mall",
            "address_2": "Carr 2 K 7",
            "city": "Bayamon",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.