Pedro Ivan Rivera, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

14748 Issued in PR

Practice address

400 Americo Miranda Ave
Rio Piedras Station
San Juan, PR 00928-1405

Phone

(787) 766-2222

NPI assigned

Jul 18, 2006

Last updated

Oct 23, 2014By the provider in NPPES

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 names 1

• Peter Rivera Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1447278056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 325",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007149999",
            "telephone_number": "787-790-1891",
            "fax_number": "208-567-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AMERICO MIRANDA AVE",
            "address_2": "RIO PIEDRAS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281405",
            "telephone_number": "787-766-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PEDRO",
        "middle_name": "IVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "14748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "RIVERA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Norma Iris Rivera, OTR/L
• Otilio Jose Rivera, MD
• Paola Nicole Rivera
• Patricia Rivera
• Pedro Rivera, RPH
• Pedro J Rivera Sr., RN
• Rafael Rivera, M.S.
• Rafael Angel Rivera, M.D.
• Reinilda Rivera, MPH
• Renato Luis Rivera, M.D.

• Anesthesiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.