Hiram Rivera de Leon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1434 Issued in PR

Practice address

222B Calle 4
Guayama, PR 00784-5939

Phone

(787) 866-4005

NPI assigned

Sep 14, 2022

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1376265645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851784",
            "telephone_number": "787-362-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222B CALLE 4",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845939",
            "telephone_number": "787-866-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DE LEON",
        "first_name": "HIRAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Criscelee Reveron Perez
• Rey N Santiago (Santiago Ambulance)
• Angel Jose Reyes Aponte, MD
• Melanie Rivera Collazo, MD
• Julinette Rivera de Jesus
• Christian Jose Rivera de Pena, DMD
• Sharlene Rivera Gonzalez, PHARM.D.
• Jose V Rivera Irizarry, M.D.
• Rivera Medical System LLC.
• Ramon C Rivera Morales Sr., MD

• Physician Assistant in Guayama, PR
• Providers in Guayama, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.