Individual provider Active NPI

Arnaldo Andres Rivera Gordon

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1710548193
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
85597 Issued in PR
Practice address
1503 Calle Prof Augusto Rodriguez Ste 600
San Juan, PR 00909-2275
Phone
(787) 497-0800
Fax
(787) 982-6464
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 85597 PR Primary

Addresses

Primary practice location

1503 Calle Prof Augusto Rodriguez Ste 600
San Juan, PR 00909-2275

Mailing address

1503 Calle Prof Augusto Rodriguez Ste 600
San Juan, PR 00909-2275
Phone (787) 497-0800

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

LicenseStateTypeSpecialty
85597PRMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Ararat Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1710548193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-497-0800",
            "fax_number": "787-982-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUEZ STE 600",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-497-0800",
            "fax_number": "787-982-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA GORDON",
        "first_name": "ARNALDO",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "85597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.