Active NPI
Deborah Rivera, LND
- Registered Dietitian
- Carolina, PR
National Provider Identifier
1669680591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1278
- Practice address
- Alts. Parque 212 Blvd. Media Luna
Apt. 2901
Carolina, PR 00987 - Phone
- (787) 317-8317
- NPI assigned
- May 21, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1278 | PR | Primary |
Addresses
Primary practice location
Alts. Parque 212 Blvd. Media Luna
Apt. 2901
Carolina, PR 00987
Mailing address
Alts. Parque 212 Blvd. Media Luna
Apt. 2901
Carolina, PR 00987
Phone (787) 317-8317
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 |
|---|---|---|---|
| 1278 | PR | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669680591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALTS. PARQUE 212 BLVD. MEDIA LUNA",
"address_2": "APT. 2901",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-317-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ALTS. PARQUE 212 BLVD. MEDIA LUNA",
"address_2": "APT. 2901",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-317-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DEBORAH",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, 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.