Active NPI
Miriam E Rivera Hernandez, MD
- Pediatrics Physician
- Ponce, PR
National Provider Identifier
1477293348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23847
- Practice address
- Jardines del Caribe
113 Calle 19
Ponce, PR 00728 - Phone
- (787) 635-5767
- NPI assigned
- Mar 30, 2022
- Last updated
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Pediatrics Physician | 208000000X | 23847 | PR | Primary |
Addresses
Primary practice location
Jardines del Caribe
113 Calle 19
Ponce, PR 00728
Mailing address
Jardines del Caribe
113 Calle 19
Ponce, PR 00728
Phone (787) 635-5767
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23847 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1477293348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JARDINES DEL CARIBE",
"address_2": "113 CALLE 19",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-635-5767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JARDINES DEL CARIBE",
"address_2": "113 CALLE 19",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-635-5767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA HERNANDEZ",
"first_name": "MIRIAM",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "23847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Fabiola Alexandra Rivera Gaston
- Carolina Alejandra Rivera Gonzalez, PHARM.D.
- Edwin Rivera Gonzalez
- Alejandra Sofia Rivera Guilbe, PT, DPT
- Abigail Rivera Guzman, DC
- Neimy Marie Rivera Hernandez, MD
- Tathana Nichole Rivera Hernandez
- Yves J Rivera Hernandez, M.D.
- Docelyn Sharat Rivera Lopez
- Luz Edmaris Rivera Lopez, AUD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.