Individual provider Active NPI

Maritza I Mendoza-Rivera, RNBSN

  • General Practice Registered Nurse
  • Arecibo, PR
National Provider Identifier
1578864807
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
16733 Issued in PR
Practice address
129 Street, San Daniel
Cotto Station Box 9550
Arecibo, PR 00613
Phone
(787) 878-3552
Fax
(787) 879-8633
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 16733 PR Primary

Addresses

Primary practice location

129 Street, San Daniel
Cotto Station Box 9550
Arecibo, PR 00613

Mailing address

486 Street KM1.4
HC-04 Box 16317
Camuy, PR 00627-7624
Phone (787) 448-4471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1578864807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 STREET KM1.4",
            "address_2": "HC-04 BOX 16317",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006277624",
            "telephone_number": "787-448-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 STREET, SAN DANIEL",
            "address_2": "COTTO STATION BOX 9550",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-878-3552",
            "fax_number": "787-879-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-RIVERA",
        "first_name": "MARITZA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "RNBSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "16733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.