Individual provider Active NPI

Elmer Rivas-Suarez, MSN, CNS, RN

  • School Clinical Nurse Specialist
  • San Juan, PR
National Provider Identifier
1639833858
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Clinical Nurse SpecialistTaxonomy code 364SS0200X
License
3404 Issued in PR
Practice address
12 Calle Teresa Jornet
San Juan, PR 00926-7517
Phone
(787) 777-1285
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Clinical Nurse Specialist 364SS0200X 3404 PR Primary

Addresses

Primary practice location

12 Calle Teresa Jornet
San Juan, PR 00926-7517

Mailing address

Urb Andreas Court
370 Calle 10 Apdo 169
Trujillo Alto, PR 00976-7823
Phone (787) 922-4695

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
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3404PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Oct 31, 2021 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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1639833858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB ANDREAS COURT",
            "address_2": "370 CALLE 10 APDO 169",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009767823",
            "telephone_number": "787-922-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE TERESA JORNET",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267517",
            "telephone_number": "787-777-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS-SUAREZ",
        "first_name": "ELMER",
        "credential": "MSN, CNS, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SS0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, School",
            "state": "PR",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.