Carlos E Rivadeneira Rivera, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001375 Issued in PR

Practice address

Urb Lirios Cala II
X404 Calle San Martin
Juncos, PR 00677

Phone

(939) 642-6689

Fax

(787) 799-6308

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• JF Medical & Supplies Services Corp

  • Durable Medical Equipment & Medical Supplies
  • Bayamon, PR
  • NPI 1255880084
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1427232255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600345",
            "telephone_number": "939-642-6689",
            "fax_number": "787-799-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LIRIOS CALA II",
            "address_2": "X404 CALLE SAN MARTIN",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "939-642-6689",
            "fax_number": "787-799-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVADENEIRA RIVERA",
        "first_name": "CARLOS",
        "middle_name": "E",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "001375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASIST.",
            "identifier": "001375",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zujeily Requena Rosado
• Ludy E. Reyes Gonzalez
• Priscila Reyes Ortiz, SPL
• Vilma Rios Barbosa, RPH
• Dennis Rios Roman
• Sammy Rivera Adames, D.M.D.
• Carlos A Rivera Alonso, O.D.
• Yaritza E Rivera Pabon
• Lina Nanette Rivera Rivera, DMD
• Diana O Rivera-Ruiz, M. D.

• Physical Therapist in Juncos, PR
• Providers in Juncos, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.