Individual provider Active NPI

Nalyssa I Rivera Cora, MD

  • Family Medicine Physician
  • Patillas, PR
National Provider Identifier
1528444221
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19159 Issued in PR
Practice address
Guillermo Riefkohl St #99
Patillas, PR 00723
Phone
(787) 839-4320
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19159 PR Primary

Addresses

Primary practice location

Guillermo Riefkohl St #99
Patillas, PR 00723

Mailing address

Box HC1 6076
Arroyo, PR 00714
Phone (787) 962-9244

Other practice location 1

103 Calle Francisco G Bruno W
Guayama, PR 00784-4749
Phone (787) 962-9244

Other identifiers 1

IdentifierTypeStateIssuer
1275539728MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.espada@csps.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000692 PR Practitioner - General Practice 4486960499 Reassigns benefits to 1 organization
Practice locations: Guayama, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud de Patillas Inc. CurrentSince Dec 9, 2019 Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc. CurrentSince Dec 9, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nalyssa.cora@cspsp.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1528444221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX HC1 6076",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-962-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUILLERMO RIEFKOHL ST #99",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Calle Francisco G Bruno W",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "007844749",
            "country_code": "US",
            "telephone_number": "787-962-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA CORA",
        "first_name": "NALYSSA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "19159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275539728",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.espada@csps.org",
            "affiliation": "N",
            "address_1": "Guillermo Riefkohl St #99",
            "city": "Patillas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patillas, PR

Sources for this page

Verify at the official NPI Registry.