Active NPI
Johanne L Rivera, LPN
- Licensed Practical Nurse
- San Juan, PR
National Provider Identifier
1659592657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 333068
- Practice address
- Urb Purple Tree 488 Carr 845
San Juan, PR 00926 - Phone
- (787) 761-1945
- Fax
- (787) 761-1947
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 333068 | PR | Primary |
Addresses
Primary practice location
Urb Purple Tree 488 Carr 845
San Juan, PR 00926
Mailing address
9 Urb. Villa Blanca
C Diamante
Caguas, PR 00725
Phone (787) 704-9699
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 |
|---|---|---|---|
| 333068 | PR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659592657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 URB. VILLA BLANCA",
"address_2": "C DIAMANTE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-704-9699",
"fax_number": "787-761-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB PURPLE TREE 488 CARR 845",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-761-1945",
"fax_number": "787-761-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JOHANNE",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PR",
"license": "333068",
"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 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.