Active NPI
Evelyn Rivera, M.D.
- Pediatrics Physician
- Cidra, PR
National Provider Identifier
1740379767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 09202
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HUMANAHEALTHPLANSPR | Other | PR | 9180428 |
| HUMANAINSURANCEPRINC | Other | PR | 9180428 |
| LACRUZAZULDEPR | Other | PR | 060695 |
| MEDICALCARDSISTEMINC | Other | PR | 2-9202 |
| ASOCIACIONDEMAESTRO | Other | PR | 3581-5 |
| GLOBALHEALTHPLAN&INS | Other | PR | 129-9202PE |
| MENONITA | Other | PR | M00080 |
| PREFERREDHEALTH | Other | PR | 203708 |
| TRIPLE-S | Other | PR | 2-1761 |
| AMERICANHEALTH,INC. | Other | PR | 1525 |
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 |
|---|---|---|---|
| 09202 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Medical Specialty Clinic/Center
- Cidra, PR
- NPI 1689054975
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.