Active NPI
Tania Rivera, M.D
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1609128495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18626
- Practice address
- 69 Gold St Apt 14E
New York, NY 10038-1883 - Phone
- (787) 414-2324
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18626 | PR | Primary |
Addresses
Primary practice location
69 Gold St Apt 14E
New York, NY 10038-1883
Mailing address
857 Ave Ponce de Leon Apt RG
San Juan, PR 00907-3377
Phone (787) 414-2324
Other names 1
- Tania Rivera Rodriguez
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: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2019 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18626 | PR | MD | Internal Medicine Physician |
Interoperability endpoints
- tania_rivera_rodriguez@yourcarecommunity.org
- tania.rivera@54618109378564.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1609128495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 AVE PONCE DE LEON APT RG",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009073377",
"telephone_number": "787-414-2324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 GOLD ST APT 14E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381883",
"telephone_number": "787-414-2324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "TANIA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "18626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANIA",
"last_name": "RIVERA RODRIGUEZ",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.