Active NPI
Nalyssa I Rivera Cora, MD
- Family Medicine Physician
- Patillas, PR
National Provider Identifier
1528444221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19159
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275539728 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Servicios Primarios de Salud de Patillas Inc. | Current | Accepting new patients | |
| Centro Servicios Primarios de Salud de Patillas Inc. | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Patillas, PR
- NPI 1275539728
-
- Health Service Clinic/Center
- Salinas, PR
- NPI 1154070365
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.