Active NPI
Ida M Rivera
- Social Worker
- Caguas, PR
National Provider Identifier
1750153342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10810
- Practice address
- Urb Caguas Milenio II Calle Olas 18
Caguas, PR 00725 - Phone
- (787) 207-2670
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10810 | PR | Primary |
Addresses
Primary practice location
Urb Caguas Milenio II Calle Olas 18
Caguas, PR 00725
Mailing address
Urbanizacion Caguas Milenio II Calle Olas 18
Caguas, PR 00725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10810 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1750153342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION CAGUAS MILENIO II CALLE OLAS 18",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB CAGUAS MILENIO II CALLE OLAS 18",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-207-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "IDA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-26",
"last_updated": "2023-10-26",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "10810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.