Individual provider Active NPI

Indira Judith Pelet Rivera

  • Obstetrics & Gynecology Physician
  • Barceloneta, PR
National Provider Identifier
1578056180
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22828 Issued in PR
Practice address
Carr 140 KM 61.9 Magueyez
Barceloneta, PR 00617
Phone
(787) 408-7627
NPI assigned
Jun 8, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35018R PR
Obstetrics & Gynecology Physician 207V00000X 22828 PR Primary

Addresses

Primary practice location

Carr 140 KM 61.9 Magueyez
Barceloneta, PR 00617

Mailing address

HC 3 Box 3336
Florida, PR 00650-9796
Phone (787) 408-7627

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
I20230706001435 PR Practitioner - Obstetrics/Gynecology 1759740939 Reassigns benefits to 4 organizations
Practice locations: Guaynabo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35018RPRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mogic OB-GYN PSC Obstetrics & Gynecology CurrentSince Mar 24, 2023 Accepting new patients
Pelet OB-GYN LLC Obstetrics & Gynecology CurrentSince Dec 10, 2025 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 26, 2025 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 26, 2025 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 26, 2025 Accepting new patients
Dorado Health Inc Past Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

1 Ave Albolote
Ste 307
Guaynabo, PR 00969
Phone (787) 247-6811

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1578056180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 3336",
            "city": "FLORIDA",
            "state": "PR",
            "postal_code": "006509796",
            "telephone_number": "787-408-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 140 KM 61.9 MAGUEYEZ",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-408-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELET RIVERA",
        "first_name": "INDIRA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-09-29",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "35018R",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "22828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.