Marvin Rivera, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

318 Issued in PR

Practice address

975 Ave de Hostos
Ste 255
Mayaguez, PR 00680-1255

Phone

(787) 834-3320

NPI assigned

Nov 11, 2005

Sex

Male

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Ponce, PR
  • NPI 1003962853
  Medicare reassignment NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Mayaguez, PR
  • NPI 1881999688
  NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Ponce, PR
  • NPI 1285180414
  NPD (past)

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528049921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 58 BOX 13692",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029724",
            "telephone_number": "787-252-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 AVE DE HOSTOS",
            "address_2": "STE 255",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801255",
            "telephone_number": "787-834-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARVIN",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Oscar Rivera, M.D.
• Juan R Rivera, DMD
• Linda Rivera
• Liz Nelly Rivera, MS
• Martin D Rivera
• Miguel Rivera, MD
• Miguel Angel Rivera, M.D
• Milka I Rivera, B.S.
• Miriam E Rivera, LND, RD, ER, EDPR
• Nelson Alexis Rivera

• Optometrist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.