Active NPI
Carmen Rivera Perez, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1467400804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 8539
- Practice address
- 1902 Calle Loiza
San Juan, PR 00911-1891 - Phone
- (787) 616-7626
- Fax
- (787) 848-0318
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 8539 | PR | Primary |
Addresses
Primary practice location
1902 Calle Loiza
San Juan, PR 00911-1891
Mailing address
603 Calle Hipodromo Apt 1605
Hipodromo 603
San Juan, PR 00909-2146
Phone (787) 725-8484
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031118000036 | PR | Practitioner - General Practice | 7416861042 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8539 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1467400804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 CALLE HIPODROMO APT 1605",
"address_2": "HIPODROMO 603",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092146",
"telephone_number": "787-725-8484",
"fax_number": "787-848-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 CALLE LOIZA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009111891",
"telephone_number": "787-616-7626",
"fax_number": "787-848-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA PEREZ",
"first_name": "CARMEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "8539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Nelson Omar Rivera Otero Sr.
- Ryan David Rivera Oyola, MD
- Juan Roberto Rivera Pacheco, PHARMD
- Maria V Rivera Panelli, DC
- Estefania Rivera Pedraza
- Crystal Marie Rivera Perez, ATO
- Dennys Rivera Perez
- Jennifer Rivera Perez, DNP, PMHNP-BC, APRN
- Orlando Rafael Rivera Perez, PHARMD
- Hilda E. Rivera Quinones, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.