Individual provider Active NPI

Evelyn Rivera, M.D.

  • Pediatrics Physician
  • Cidra, PR
National Provider Identifier
1740379767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
09202 Issued in PR
Practice address
Carr 172 KM3.3 Ave El Jibaro
Centro de Salud Familiar Menonita Oficina 104
Cidra, PR 00739
Phone
(787) 714-0125
Fax
(787) 714-0125
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 09202 PR Primary

Addresses

Primary practice location

Carr 172 KM3.3 Ave El Jibaro
Centro de Salud Familiar Menonita Oficina 104
Cidra, PR 00739

Mailing address

563 Calle Arrigoitia
San Juan, PR 00918-3726
Phone (787) 714-0125

Other identifiers 10

IdentifierTypeStateIssuer
HUMANAHEALTHPLANSPROtherPR9180428
HUMANAINSURANCEPRINCOtherPR9180428
LACRUZAZULDEPROtherPR060695
MEDICALCARDSISTEMINCOtherPR2-9202
ASOCIACIONDEMAESTROOtherPR3581-5
GLOBALHEALTHPLAN&INSOtherPR129-9202PE
MENONITAOtherPRM00080
PREFERREDHEALTHOtherPR203708
TRIPLE-SOtherPR2-1761
AMERICANHEALTH,INC.OtherPR1525

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

LicenseStateTypeSpecialty
09202PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oficina Pediatrica Dra Evelyn Rivera 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740379767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CALLE ARRIGOITIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183726",
            "telephone_number": "787-714-0125",
            "fax_number": "787-756-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 172 KM3.3 AVE EL JIBARO",
            "address_2": "CENTRO DE SALUD FAMILIAR MENONITA OFICINA 104",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-714-0125",
            "fax_number": "787-714-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "09202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9180428",
            "identifier": "HUMANAHEALTHPLANSPR",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9180428",
            "identifier": "HUMANAINSURANCEPRINC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "060695",
            "identifier": "LACRUZAZULDEPR",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2-9202",
            "identifier": "MEDICALCARDSISTEMINC",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3581-5",
            "identifier": "ASOCIACIONDEMAESTRO",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "129-9202PE",
            "identifier": "GLOBALHEALTHPLAN&INS",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M00080",
            "identifier": "MENONITA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "203708",
            "identifier": "PREFERREDHEALTH",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2-1761",
            "identifier": "TRIPLE-S",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1525",
            "identifier": "AMERICANHEALTH,INC.",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.