Active NPI
Ibbis Rivera
- Speech-Language Pathologist
- Toa Alta, PR
National Provider Identifier
1689064966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1562
- Practice address
- R38 Calle 22
Toa Alta Heights
Toa Alta, PR 00953-4247 - Phone
- (787) 327-2772
- NPI assigned
- Jan 26, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1562 | PR | Primary |
Addresses
Primary practice location
R38 Calle 22
Toa Alta Heights
Toa Alta, PR 00953-4247
Mailing address
R38 Calle 22
Toa Alta Heights
Toa Alta, PR 00953
Phone (787) 327-2772
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 |
|---|---|---|---|
| 1562 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1689064966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "R38 CALLE 22",
"address_2": "TOA ALTA HEIGHTS",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-327-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "R38 CALLE 22",
"address_2": "TOA ALTA HEIGHTS",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009534247",
"telephone_number": "787-327-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "IBBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "1562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.