Active NPI
Tamara Michelle Riboul, M.D.
- Pediatrics Physician
- Guaynabo, PR
National Provider Identifier
1699876680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16437
- Practice address
- Avenida Arbolote #1 Plaza Real Shopping Center
Suite #307
Guaynabo, PR 00969 - Phone
- (787) 247-6811
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16437 | PR | Primary |
Addresses
Primary practice location
Avenida Arbolote #1 Plaza Real Shopping Center
Suite #307
Guaynabo, PR 00969
Mailing address
Urbanizacion Colinas de Cupey
Street 5 #D-21
San Juan, PR 00926
Phone (787) 755-0112
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16437 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1699876680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION COLINAS DE CUPEY",
"address_2": "STREET 5 #D-21",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-755-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA ARBOLOTE #1 PLAZA REAL SHOPPING CENTER",
"address_2": "SUITE #307",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-247-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBOUL",
"first_name": "TAMARA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "16437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.