Individual provider Active NPI

Marisol Rivera-Misla, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Mayaguez, PR
National Provider Identifier
1689894974
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
9895 Issued in PR
Practice address
Calle Mendez Vigo 165-E
Mayaguez, PR 00680
Phone
(787) 832-7246
Fax
(787) 831-7246
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 9895 PR Primary

Addresses

Primary practice location

Calle Mendez Vigo 165-E
Mayaguez, PR 00680

Mailing address

165 Calle Mendez Vigo E
Mayaguez, PR 00680-5049
Phone (787) 832-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000638 PR Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 3577720176 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Calle Mendez Vigo E
Mayaguez, PR 00680-5049
Phone (787) 832-7246

165 Mendez Vigo E
Mayaguez, PR 00680-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1689894974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CALLE MENDEZ VIGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805049",
            "telephone_number": "787-832-7246",
            "fax_number": "787-831-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO 165-E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-7246",
            "fax_number": "787-831-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MISLA",
        "first_name": "MARISOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PR",
            "license": "9895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.