Robert Rivera, MD

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

9611 Issued in PR

Practice address

Carr. PR 173, KM 6, HM5, Sector San Jose, Bo. Rabanal
Cidra, PR 00739

Phone

(787) 520-7390

Fax

(787) 520-7108

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert Wilson Rivera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• RW Lab LLC

  • Clinical Medical Laboratory
  • Cidra, PR
  • NPI 1861043960
  NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285283317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 459",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-520-7390",
            "fax_number": "787-520-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR 173, KM 6, HM5, SECTOR SAN JOSE, BO. RABANAL",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-520-7390",
            "fax_number": "787-520-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "PR",
            "license": "9611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417038969",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "RIVERA",
            "middle_name": "WILSON",
            "credential": "MT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Irmanell Rivera, RPH
• Jose Rivera, MSW
• Milca Rivera
• Natalia C Rivera, LPN
• Nelymar Rivera, MSW
• Robert Rivera, M.D.
• Viviana Rivera
• Celeste Rodriguez Colon, M.D.
• Valeria Rodriguez Colon, LPC
• Awilmarie Rodriguez Gutierrez

• Clinical Laboratory Director (Non-physician) in Cidra, PR
• Providers in Cidra, PR by specialty
• Clinical Laboratory Director (Non-physician) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.