Active NPI
Patricia Rivera
- Chiropractor
- Hatillo, PR
National Provider Identifier
1760177455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 917
- Practice address
- Hatillo Carrizales Sector Palma Gorga
Hatillo, PR 00659-7360 - Phone
- (787) 515-7785
- NPI assigned
- Apr 7, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 917 | PR | Primary |
Addresses
Primary practice location
Hatillo Carrizales Sector Palma Gorga
Hatillo, PR 00659-7360
Mailing address
HC 1 Box 8057
Hatillo, PR 00659-7360
Phone (787) 515-7785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926004343 | PR | Practitioner - Chiropractic | 5294266516 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 917 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1760177455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 8057",
"city": "HATILLO",
"state": "PR",
"postal_code": "006597360",
"telephone_number": "787-515-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HATILLO CARRIZALES SECTOR PALMA GORGA",
"city": "HATILLO",
"state": "PR",
"postal_code": "006597360",
"telephone_number": "787-515-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-07",
"last_updated": "2023-04-07",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hatillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.