Active NPI
Nisha L. Rivera Negron, LCDA
- Nutritionist
- Guayanilla, PR
National Provider Identifier
1740509470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1528
- Practice address
- 20 Calle Rufina
Suite 2 Bajos
Guayanilla, PR 00656 - Phone
- (787) 209-4146
- NPI assigned
- May 20, 2010
- Last updated
- Sep 20, 2023
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1528 | PR | Primary |
Addresses
Primary practice location
20 Calle Rufina
Suite 2 Bajos
Guayanilla, PR 00656
Mailing address
11182 Margarita Street Urb. Hacienda Concordia
Santa Isabel, PR 00757
Phone (787) 209-4146
Other practice location 1
16 Calle Rafael Ocasio
Salinas, PR 00751-3240
Phone (787) 209-4146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1528 | PR | MD | Medical Laboratory Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Care,LLC | Current | Accepting new patients | |
| De Medicos Primarios, Corp. | Past | Accepting new patients | |
| Aliansa de Salud Primaria Inc. | Past | Accepting new patients |
Interoperability endpoints
- nisha.riveranegron.p1@direct.vitacare.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1437693017
-
- Exclusive Provider Organization
- Santa Isabel, PR
- NPI 1538559596
-
dba Corporacion Medico Primaria
- Health Maintenance Organization
- Santa Isabel, PR
- NPI 1093926834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1740509470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11182 MARGARITA STREET URB. HACIENDA CONCORDIA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-209-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CALLE RUFINA",
"address_2": "SUITE 2 BAJOS",
"city": "GUAYANILLA",
"state": "PR",
"postal_code": "00656",
"telephone_number": "787-209-4146"
}
],
"practiceLocations": [
{
"address_1": "16 Calle Rafael Ocasio",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "PR",
"postal_code": "007513240",
"country_code": "US",
"telephone_number": "787-209-4146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA NEGRON",
"first_name": "NISHA",
"middle_name": "L.",
"credential": "LCDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayanilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.