Active NPI
Camelia Rivera, LCDA.
- Speech-Language Pathologist
- Mayaguez, PR
National Provider Identifier
1356947154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004284
- Practice address
- 912 Calle Cruz
Mayaguez, PR 00682-7581 - Phone
- (939) 254-8875
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 004284 | PR | Primary |
Addresses
Primary practice location
912 Calle Cruz
Mayaguez, PR 00682-7581
Mailing address
912 Calle Cruz
Mayaguez, PR 00682-7581
Phone (939) 254-8875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211207002129 | PR | Practitioner - Qualified Speech Language Pathologist | 0648660779 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1356947154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 CALLE CRUZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006827581",
"telephone_number": "939-254-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 CALLE CRUZ",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006827581",
"telephone_number": "939-254-8875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "CAMELIA",
"credential": "LCDA.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "004284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.