Active NPI
Lilliana Rivera Nieves, THERAPIST
- Physical Medicine & Rehabilitation Physician
- Vega Alta, PR
National Provider Identifier
1316008451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1046
- Practice address
- Barrio Brenas, Street 693
No. 271
Vega Alta, PR 00692 - Phone
- (787) 883-3939
- Fax
- (787) 270-4399
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1046 | PR | Primary |
Addresses
Primary practice location
Barrio Brenas, Street 693
No. 271
Vega Alta, PR 00692
Mailing address
Barrio Brenas, Street 693,
No. 271
Vega Alta, PR 00692
Phone (787) 883-3939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6920027 | Other | PR | HUMANA HEALTH PLAN |
| P715 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 82011 | Other | PR | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Terapia Fisica Rivera Nieves Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Maintenance Organization
- Vega Alta, PR
- NPI 1528122694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316008451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BARRIO BRENAS, STREET 693,",
"address_2": "NO. 271",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-883-3939",
"fax_number": "787-270-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO BRENAS, STREET 693",
"address_2": "NO. 271",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-883-3939",
"fax_number": "787-270-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA NIEVES",
"first_name": "LILLIANA",
"credential": "THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PR",
"license": "1046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "6920027",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "P715",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "82011",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vega Alta, 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.