Lissette Rosa-Rivera, MS, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1095 Issued in PR

Practice address

1129 Calle Pablo Iglesias
Urb. Palacios de Marbella
Toa Alta, PR 00953

Phone

(787) 316-1384

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1356915995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 CALLE PABLO IGLESIAS",
            "address_2": "URB. PALACIOS DE MARBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-316-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 CALLE PABLO IGLESIAS",
            "address_2": "URB. PALACIOS DE MARBELLA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-316-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA-RIVERA",
        "first_name": "LISSETTE",
        "name_prefix": "Mrs.",
        "credential": "MS, OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "PR",
            "license": "1095",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PR",
            "license": "1095",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Roman Chirino, PHARMD
• Ninoshka Lee Roman Vazquez, MD
• Elynette Roman, PT
• Iris Violeta Roman, PHARMD
• Jessica Del Carmen Roman
• Linnette Rosado Medina, M.D.
• Sandra I Rosado Medina, M.D.
• Julianne N Rosario Font, RN BSN
• Ruby Yanina Rosario
• Rosas Rehabilitation Pain and Sport Institute LLC

• Occupational Therapist in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Occupational Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.