Lissette Acosta Rivera

Primary specialty

SpecialistTaxonomy code 174400000X

License

133 Issued in PR

Practice address

G 10 Periferal Ave
Coop Cuidad Universitaria
Trujillo Alto, PR 00976-2104

Phone

(787) 760-8405

Fax

(787) 760-8405

NPI assigned

Apr 13, 2007

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)

Enrolled

State licenses

Practice roles

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.

• Centro de Terapia Fisica Expreso

  • Physical Therapy Clinic/Center
  • Trujillo Alto, PR
  • NPI 1619996006
  NPD (past) Authorized official
• Centro Fisiatrico Y Rehabilitacion

  • Physical Therapy Clinic/Center
  • Carolina, PR
  • NPI 1710169917
  NPD (past)
• Clinica Terapia Fisica Isla Verde

  • Physical Therapy Clinic/Center
  • Carolina, PR
  • NPI 1215354261
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679797187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20897",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280897",
            "telephone_number": "787-760-8405",
            "fax_number": "787-760-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G 10 PERIFERAL AVE",
            "address_2": "COOP CUIDAD UNIVERSITARIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762104",
            "telephone_number": "787-760-8405",
            "fax_number": "787-760-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LISSETTE",
        "middle_name": "ACOSTA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rivera-de Leon
• Dagmar Rivera, M.D.
• Denise Rivera
• Jonathan Rivera
• Linda L. Rivera, LPC
• Madeline Rivera, LND
• Zulmary Rivera
• Robert Ashby
• Krystal Michelle Robles Jimenez
• Nereida Robles Rosa

• Specialist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Specialist in Puerto Rico

• 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.

Verify at the official NPI Registry.