Active NPI
Glenda J Rivera
- Non-emergency Medical Transport (VAN)
- Vega Alta, PR
National Provider Identifier
1609528678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- R165290748630
- Practice address
- Street 693
14.7 Bo Brenas
Vega Alta, PR 00692 - Phone
- (787) 663-0204
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Private Vehicle | 347C00000X | R165290748630 | ZZ | |
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | R165290748630 | FL | Primary |
Addresses
Primary practice location
Street 693
14.7 Bo Brenas
Vega Alta, PR 00692
Mailing address
Paseo Los Corales I
679
Dorado, PR 00646
Phone (787) 663-0204
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R165290748630 | FL | MD | Non-emergency Medical Transport (VAN) |
| R165290748630 | ZZ | MD | Private Vehicle |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gig Logistics LLC | Driver | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1609528678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PASEO LOS CORALES I",
"address_2": "679",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-663-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET 693",
"address_2": "14.7 BO BRENAS",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-663-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GLENDA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "ZZ",
"license": "R165290748630",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "FL",
"license": "R165290748630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.