Organization Active NPI

Oficina Pediatrica Dra Evelyn Rivera

  • Medical Specialty Clinic/Center
  • Cidra, PR
National Provider Identifier
1689054975
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
09202 Issued in PR
Legal business name
OFICINA PEDIATRICA DRA EVELYN RIVERA
Practice address
Carr 172 KM 3.3 Ofic. 104
Ave. El Jibaro
Cidra, PR 00739
Phone
(787) 714-0125
Fax
(787) 714-0125
NPI assigned
Jun 2, 2015
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Evelyn Rivera, MDNPI 1740379767
Title
President
Phone
(787) 714-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 09202 PR Primary

Addresses

Primary practice location

Carr 172 KM 3.3 Ofic. 104
Ave. El Jibaro
Cidra, PR 00739

Mailing address

563 Calle Arrigoitia
Ext. Roosevelt
San Juan, PR 00918-3726
Phone (787) 714-0125

National Provider Directory

National Provider Directory

Locations

Carr 172 KM 33 Ofic 104
Ave El Jibaro
Cidra, PR 00739
Phone (787) 714-0125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1689054975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CALLE ARRIGOITIA",
            "address_2": "EXT. ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183726",
            "telephone_number": "787-714-0125",
            "fax_number": "787-714-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 172 KM 3.3 OFIC. 104",
            "address_2": "AVE. EL JIBARO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-0125",
            "fax_number": "787-714-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA PEDIATRICA DRA EVELYN RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-714-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "09202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.