Individual provider Active NPI

Cellymar Zaragoza-Rivera, MD

  • Pediatrics Physician
  • Ponce, PR
National Provider Identifier
1396788063
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15550 Issued in PR
Practice address
Torre Med San Lucas 717 Ave Tito Castro 909
Ponce, PR 00716
Phone
(787) 841-5549
Fax
(787) 840-3030
NPI assigned
Jun 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15550 PR Primary

Addresses

Primary practice location

Torre Med San Lucas 717 Ave Tito Castro 909
Ponce, PR 00716

Mailing address

PMB 157 PO Box 780
Mercedita, PR 00715
Phone (787) 841-5549

Other identifiers 2

IdentifierTypeStateIssuer
DM15533-3OtherPRASMCA
15550OtherPRSTATE LISCENCE

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

LicenseStateTypeSpecialty
15550PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Perioperative Consultants PSC PastSince Nov 1, 2008 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396788063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 157 PO BOX 780",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "00715",
            "telephone_number": "787-841-5549",
            "fax_number": "787-840-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MED SAN LUCAS 717 AVE TITO CASTRO 909",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-5549",
            "fax_number": "787-840-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA-RIVERA",
        "first_name": "CELLYMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASMCA",
            "identifier": "DM15533-3",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISCENCE",
            "identifier": "15550",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.