Shirley A. Rivera Rolon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00413 Issued in PR

Practice address

Urb. Tropical Gardens Carr 360 KM 1.4
Edf. Profesional 3R
San German, PR 00683

Phone

(787) 892-2771

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1659000479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS CAOBOS",
            "address_2": "CALLE GUAYNABO 1805",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-202-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. TROPICAL GARDENS CARR 360 KM 1.4",
            "address_2": "EDF. PROFESIONAL 3R",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROLON",
        "first_name": "SHIRLEY",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "00413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eugenia Rios-Enriquez, MD
• Jesus E Rivera Baez, MD
• Ambar Gerianna Rivera Castillo, CD/PCD(DONA)
• Krystel Marie Rivera Chaves, PSYD
• Marlene Diane Rivera Ferrer
• Gabriel Rivera Sepulveda, M.D.
• Sanycha T Rivera-Ramos, PHARMD
• Dalila Rivera-Vargas
• Annette Rivera, O.D.
• Araceli Rivera, M.D.

• Speech-Language Pathologist in San German, PR
• Providers in San German, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.