Active NPI
Noellie Marie Rivera Torres, MD
- Neurology Physician
- Guaynabo, PR
National Provider Identifier
1740769413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 23658
- Practice address
- 100 Centro Internacional de Mercadeo Suite 306
Guaynabo, PR 00968 - Phone
- (787) 793-7984
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 23658 | PR | Primary |
Addresses
Primary practice location
100 Centro Internacional de Mercadeo Suite 306
Guaynabo, PR 00968
Mailing address
170 Avenida Arterial Hostos
Cond Parque Centro Edif Aleli C26
San Juan, PR 00918
Phone (787) 604-6771
Other practice location 1
10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-7582
Other practice location 2
Hospital Auxilio Mutuo Ave. Ponce de Leon
715
Hato Rey, PR 00918
Phone (787) 604-6771
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23658 | PR | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1740769413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 AVENIDA ARTERIAL HOSTOS",
"address_2": "COND PARQUE CENTRO EDIF ALELI C26",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-604-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CENTRO INTERNACIONAL DE MERCADEO SUITE 306",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-793-7984"
}
],
"practiceLocations": [
{
"address_1": "10 Calle Casia",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009213200",
"country_code": "US",
"telephone_number": "787-641-7582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Hospital Auxilio Mutuo Ave. Ponce de Leon",
"address_2": "715",
"address_purpose": "LOCATION",
"city": "Hato Rey",
"state": "PR",
"postal_code": "00918",
"country_code": "US",
"telephone_number": "787-604-6771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA TORRES",
"first_name": "NOELLIE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2024-09-06",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "23658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Jose M Rivera Serrano, 1140P
- Orlando Rivera Suazo, 1714P
- Betty Rivera Torres, 1389B
- Jose A Rivera Torres, 0518P
- Luz N Rivera Torres, 1538B
- Diana Rivera Velazquez, 1437B
- Carmen Myriam Rivera-Negron, DMD
- Angelita Rivera-Saez, PSY. D.
- Saira I Rivera-Sanfiorenzo, DMD
- Francisco Videl Rivera-Santiago, PSY D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.