Active NPI
Ambar Perez Rivera, DC
- Chiropractor
- Carolina, PR
National Provider Identifier
1376268334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 879
- Practice address
- Carr 185 KM 13.8 Bo Cedros
Carolina, PR 00987 - Phone
- (787) 519-9945
- NPI assigned
- Oct 11, 2022
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 879 | PR | Primary |
Addresses
Primary practice location
Carr 185 KM 13.8 Bo Cedros
Carolina, PR 00987
Mailing address
HC 3 Box 12130
Carolina, PR 00987-9617
Phone (787) 519-9945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230519000430 | PR | Practitioner - Chiropractic | 6103282017 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 879 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1376268334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 12130",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879617",
"telephone_number": "787-519-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 185 KM 13.8 BO CEDROS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-519-9945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ RIVERA",
"first_name": "AMBAR",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.