Nicole Marie Rivera Torres, RDN, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2077 Issued in PR

Practice address

715 Avenida Ponce de Leon
Nutrition Dept
Hato Rey, PR 00909-1958

Phone

(787) 758-2000

NPI assigned

Jan 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Nutritionist
  • San Juan, PR
  • NPI 1356771158
  NPD
• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • Rehabilitation Clinic/Center
  • San Juan, PR
  • NPI 1992369615
  NPD

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1548734742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191227",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVENIDA PONCE DE LEON",
            "address_2": "NUTRITION DEPT",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009091958",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA TORRES",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RDN, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "86069514",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITAN NUTRITIONIST",
            "identifier": "86069514",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN'S LICENCE",
            "identifier": "2077",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kermit Richiez Colon, M.D.
• Jose Rios, RPH
• Hilda Maria Rivera Marin, PSYD.
• Raul Rivera Mendez, MD
• Erika Damaris Rivera Rivera
• Ada Rivera
• Alicia M Rivera, RN REGISTERED NURSE
• Isabel Rios Rivera, MSW
• Maileen Rivera, BA
• Norma Rivera, RPH

• Registered Dietitian in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.