Dr. Elionexsis Rivera Rodriguez, CSP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10898 Issued in PR

Legal business name

DR. ELIONEXSIS RIVERA RODRIGUEZ, CSP

Practice address

Ave. Emerito Estrada
1001 Altos
San Sebastian, PR 00685

Phone

(787) 280-4889

Fax

(787) 280-4889

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Elionexsis Rivera Rodriguez, M.D.

Title

Pediatrician/President

Phone

(787) 280-4889

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elionexsis Rivera, M.D.

  • Pediatrics Physician
  • San Sebastian, PR
  • NPI 1588638456
  NPD (past)

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1538504071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C14 CALLE 4",
            "address_2": "URB. VENTURINI",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852708",
            "telephone_number": "787-280-4889",
            "fax_number": "787-280-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. EMERITO ESTRADA",
            "address_2": "1001 ALTOS",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-280-4889",
            "fax_number": "787-280-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELIONEXSIS RIVERA RODRIGUEZ, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA RODRIGUEZ",
        "authorized_official_first_name": "ELIONEXSIS",
        "authorized_official_title_or_position": "PEDIATRICIAN/PRESIDENT",
        "authorized_official_telephone_number": "787-280-4889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588638456",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.