Active NPI
Marilian T. Rivera, MSPT
- Physical Therapist
- Toa Alta, PR
National Provider Identifier
1700190048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1403
- Practice address
- 2002 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9421 - Phone
- (787) 944-6826
- NPI assigned
- Jul 28, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1403 | PR | Primary |
Addresses
Primary practice location
2002 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9421
Mailing address
2002 Calle Reyna Mora
Hacienda El Pilar
Toa Alta, PR 00953-9421
Phone (787) 944-6826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1403 | PR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&R Physical Therapy L.L.C. | Current | Accepting new patients |
Locations
1395 Calle San Rafael
Santurce, PR 00909
Phone (787) 303-5410
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- San Juan, PR
- NPI 1962051094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1700190048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 CALLE REYNA MORA",
"address_2": "HACIENDA EL PILAR",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009539421",
"telephone_number": "787-944-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 CALLE REYNA MORA",
"address_2": "HACIENDA EL PILAR",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009539421",
"telephone_number": "787-944-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARILIAN",
"middle_name": "T.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-28",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "1403",
"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 Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.