Active NPI
Coraliss M Rivera, S.L.P.
- Speech-Language Pathologist
- Arecibo, PR
National Provider Identifier
1326596982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1062
- Practice address
- Carretera 639 KM 2.3 Interior
Barrio Sabana Hoyos
Arecibo, PR 00688 - Phone
- (787) 454-0530
- NPI assigned
- Sep 13, 2016
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1062 | PR | Primary |
Addresses
Primary practice location
Carretera 639 KM 2.3 Interior
Barrio Sabana Hoyos
Arecibo, PR 00688
Mailing address
HTC 05 Box 25882
Camuy, PR 00627
Phone (787) 454-0530
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1062 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1326596982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HTC 05 BOX 25882",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-454-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 639 KM 2.3 INTERIOR",
"address_2": "BARRIO SABANA HOYOS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00688",
"telephone_number": "787-454-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CORALISS",
"middle_name": "M",
"credential": "S.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.