Miguel Rodrigo Rivera Roman

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

480 William F McClellan Hwy Ste 302
Boston, MA 02128-1389

Phone

(857) 264-0965

Fax

(413) 455-2990

NPI assigned

Apr 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1609510098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E COLUMBUS AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052509",
            "telephone_number": "413-296-6185",
            "fax_number": "413-455-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 WILLIAM F MCCLELLAN HWY STE 302",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281389",
            "telephone_number": "857-264-0965",
            "fax_number": "413-455-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROMAN",
        "first_name": "MIGUEL RODRIGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuliana Adalgisa Rivera Casul
• Maria Jose Rivera Criado, MD
• Noretza Rivera Lopez, MA
• Grace Elaine Rivera Owen, MD
• Stephanie Rivera Owen, CNM
• Claudia Maria Rivera-Gruvis
• Jarrett Wesley Rivera-Lebeau, MS CCC-SLP
• Armando Uribe Rivera
• Brianna Rivera
• Cheyanne Olivia Rivera

• Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.