Active NPI
Virginia Isa Rivas, MHSN, LND
- Registered Dietitian
- Isabela, PR
National Provider Identifier
1497025332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1650
- Practice address
- Carretera 112 KM. 3.3
7468 A
Isabela, PR 00662 - Phone
- (787) 319-2152
- NPI assigned
- Jan 10, 2012
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1650 | PR | Primary |
Addresses
Primary practice location
Carretera 112 KM. 3.3
7468 A
Isabela, PR 00662
Mailing address
Barrio Mamey Carretera 4417 Ramal 4418 KM. 0.1
Aguada, PR 00602-0000
Phone (787) 319-2152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120509000364 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 0547422537 | Practice locations: Aguada, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1497025332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BARRIO MAMEY CARRETERA 4417 RAMAL 4418 KM. 0.1",
"city": "AGUADA",
"state": "PR",
"postal_code": "006020000",
"telephone_number": "787-319-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 112 KM. 3.3",
"address_2": "7468 A",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-319-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "VIRGINIA",
"middle_name": "ISA",
"name_prefix": "Ms.",
"credential": "MHSN, LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.