Active NPI
Antonio Alberto Rivera
- Durable Medical Equipment & Medical Supplies
- Bayamon, PR
National Provider Identifier
1336378074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 186406
- Practice address
- Ave. Minillas Carr 631 KM.2..3 Condominio Bayamonte
Bayamon, PR 00956 - Phone
- (787) 361-9767
- Fax
- (787) 785-6810
- NPI assigned
- Jul 2, 2009
- Last updated
- Jul 2, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 186406 | PR | Primary |
Addresses
Primary practice location
Ave. Minillas Carr 631 KM.2..3 Condominio Bayamonte
Bayamon, PR 00956
Mailing address
Carr 152 Sector Pepe Morales Bo. Anones
Naranjito, PR 00719
Phone (787) 361-9767
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 |
|---|---|---|---|
| 186406 | PR | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1336378074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR 152 SECTOR PEPE MORALES BO. ANONES",
"city": "NARANJITO",
"state": "PR",
"postal_code": "00719",
"telephone_number": "787-361-9767",
"fax_number": "787-785-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. MINILLAS CARR 631 KM.2..3 CONDOMINIO BAYAMONTE",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-361-9767",
"fax_number": "787-785-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANTONIO",
"middle_name": "ALBERTO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PR",
"license": "186406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.