Active NPI
Luis Rivera, M.D.
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1376589622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7171
- Practice address
- Cond. Parque de la Fuente Apt. 1408
San Juan, PR 00918-3901 - Phone
- (787) 764-3121
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7171 | PR | Primary |
Addresses
Primary practice location
Cond. Parque de la Fuente Apt. 1408
San Juan, PR 00918-3901
Mailing address
Cond. Parque de la Fuente Apt. 1408
San Juan, PR 00918-3901
Phone (787) 764-3121
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7171 | PR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376589622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. PARQUE DE LA FUENTE APT. 1408",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183901",
"telephone_number": "787-764-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. PARQUE DE LA FUENTE APT. 1408",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183901",
"telephone_number": "787-764-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "7171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.