Individual provider Active NPI

Morayma Enid Rivera Nieves, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1396368619
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23020 Issued in PR
Practice address
371 Calle de Diego
San Juan, PR 00923-3002
Phone
(787) 767-5100
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23020 PR Primary
Medical Physician Assistant 363AM0700X 491 PR

Addresses

Primary practice location

371 Calle de Diego
San Juan, PR 00923-3002

Mailing address

Condominio Las Teresas
Apart. 3-F Calle Azabache 901
San Juan, PUERTO RICO 00924
UM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230109002747 PR Practitioner - General Practice 2365812369 Reassigns benefits to 1 organization
Practice locations: Rio Piedras, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23020PRMDGeneral Practice Physician
491PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lunaris Medical Clinic LLC General Practice Current Accepting new patients
Cossma Inc CurrentSince Jan 24, 2025 Accepting new patients
Cossma, Inc. CurrentSince Jan 24, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1396368619",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CONDOMINIO LAS TERESAS",
            "address_2": "APART. 3-F CALLE AZABACHE 901",
            "city": "SAN JUAN",
            "state": "PUERTO RICO",
            "postal_code": "00924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233002",
            "telephone_number": "787-767-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NIEVES",
        "first_name": "MORAYMA",
        "middle_name": "ENID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23020",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.