Individual provider Active NPI

Lilliam Waleska Rivera Bermudez, M.D.

  • General Practice Physician
  • Coto Laurel, PR
National Provider Identifier
1730156878
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15490 Issued in PR
Practice address
420 Diamante, Urb Brisas de Laurel
Coto Laurel, PR 00780-2217
Phone
(787) 260-6116
Fax
(787) 260-6116
NPI assigned
Mar 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15490 PR Primary

Addresses

Primary practice location

420 Diamante, Urb Brisas de Laurel
Coto Laurel, PR 00780-2217

Mailing address

420 Diamante, Urb Brisas de Laurel
Coto Laurel, PR 00780-2217
Phone (787) 260-6116

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15490PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730156878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DIAMANTE, URB BRISAS DE LAUREL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802217",
            "telephone_number": "787-260-6116",
            "fax_number": "787-260-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DIAMANTE, URB BRISAS DE LAUREL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802217",
            "telephone_number": "787-260-6116",
            "fax_number": "787-260-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BERMUDEZ",
        "first_name": "LILLIAM",
        "middle_name": "WALESKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.