Individual provider Active NPI

Angelica Marie Nieves-Rivera, MD, MS

  • Pediatrics Physician
  • Manati, PR
National Provider Identifier
1609429091
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
025062 Issued in PR
Practice address
MMC Profesional PLZ
Manati, PR 00674-4652
Phone
(787) 884-2558
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 025062 PR Primary

Addresses

Primary practice location

MMC Profesional PLZ
Manati, PR 00674-4652

Mailing address

MMC Profesional PLZ
Manati, PR 00674-4652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231006002683 MA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1456737709

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1609429091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MMC PROFESIONAL PLZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC PROFESIONAL PLZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744652",
            "telephone_number": "787-884-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-RIVERA",
        "first_name": "ANGELICA",
        "middle_name": "MARIE",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "025062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.