Individual provider Active NPI

Stephanie Rivera Tavarez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bayamon, PR
National Provider Identifier
1598405581
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000122 Issued in PR
Practice address
100 Paseo San Pablo
Bayamon, PR 00961-7019
Phone
(787) 667-4829
NPI assigned
Mar 29, 2022
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 000122 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
Bayamon, PR 00961-7019

Mailing address

100 Paseo San Pablo
Bayamon, PR 00961-7019
Phone (787) 667-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1598405581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-667-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617019",
            "telephone_number": "787-667-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA TAVAREZ",
        "first_name": "STEPHANIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PR",
            "license": "000122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.