Katherine G Rivera Hernandez, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

638 Issued in PR

Practice address

Carr 2 KM 30 Bo Espinosa
Vega Alta, PR 00692

Phone

(787) 206-5686

Fax

(787) 915-5058

NPI assigned

Apr 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maximal Health PR, PSC

  • Cardiovascular Disease Physician
  • San Juan, PR
  • NPI 1609133321
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1740452432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1333",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601333",
            "telephone_number": "787-206-5686",
            "fax_number": "787-915-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 30 BO ESPINOSA",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-206-5686",
            "fax_number": "787-915-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA HERNANDEZ",
        "first_name": "KATHERINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Idanis Rios, M.D.
• Ramon Luis Rivas, M.D.
• Lisandra Rivera Aviles, OT
• Maria De Los a Rivera Concepcion, TO
• Ivonne E Rivera de Rios
• Polanska Rivera Martinez
• Lilliana Rivera Nieves, THERAPIST
• Saul L Rivera Ortega, M.D.
• Ariel Rivera, MD
• Brendaliz Rivera, M.D.

• Optometrist in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.