Active NPI
Dagmar Rivera, M.D.
- Primary Care Clinic/Center
- Trujillo Alto, PR
National Provider Identifier
1629109228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 16524
- Practice address
- Edif A6 Apt. 4B
Interamericana Gardens
Trujillo Alto, PR 00976 - Phone
- (787) 313-1559
- Fax
- (787) 752-2992
- NPI assigned
- Mar 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 16524 | PR | Primary |
Addresses
Primary practice location
Edif A6 Apt. 4B
Interamericana Gardens
Trujillo Alto, PR 00976
Mailing address
PO Box 416
Trujillo Alto, PR 00977-0416
Phone (787) 313-1559
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16524 | PR | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629109228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009770416",
"telephone_number": "787-313-1559",
"fax_number": "787-752-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIF A6 APT. 4B",
"address_2": "INTERAMERICANA GARDENS",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-313-1559",
"fax_number": "787-752-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DAGMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "PR",
"license": "16524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.