Shirley Marie Rivera Hernandez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22474 Issued in PR

Practice address

Carr 149 KM 18.2 Barrio Pesa Sector Capilla Interior
Ciales,, PR 00638-0063

Phone

(787) 231-9025

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Instituto Medico del Norte Inc

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169
  Medicare reassignment NPD
• Instituto Medico del Norte Inc

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1225802606
  NPD

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1447925649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4535",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006389691",
            "telephone_number": "787-231-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 18.2 BARRIO PESA SECTOR CAPILLA INTERIOR",
            "city": "CIALES,",
            "state": "PR",
            "postal_code": "006380063",
            "telephone_number": "787-231-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA HERNANDEZ",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Luis Diaz- Rivere
• Oderitza Ramos I
• Rayosx Prymed Medical Care, Inc.
• Rafael David Rios Vega, MD
• Vanessa Rios, MD
• Rosily Rivera Matos, MD
• Maria Rivera Rosario
• Paola N Rivera Torres
• Stephanie Rivera-Pagan, RDN
• Jeanette Rivera, MSW

• General Practice Physician in Ciales,, PR
• Providers in Ciales,, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.