Active NPI
Stephanie Rivera-Pagan, RDN
- Registered Dietitian
- Ciales, PR
National Provider Identifier
1760954887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2074
- Practice address
- Carr 6633 KM 0.1 Sector Campamento
Bo Hato Viejo
Ciales, PR 00638 - Phone
- (787) 663-7872
- NPI assigned
- Dec 31, 2018
- Last updated
- Aug 5, 2024
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2074 | PR | Primary |
Addresses
Primary practice location
Carr 6633 KM 0.1 Sector Campamento
Bo Hato Viejo
Ciales, PR 00638
Mailing address
RR 2 Box 5826
Manati, PR 00674-9649
Phone (787) 414-4711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190619002950 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 1658605936 | Practice locations: Ciales, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 6633 KM 0
Bo Hato Viejo
Ciales, PR 00638
Phone (787) 414-4711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1760954887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 5826",
"city": "MANATI",
"state": "PR",
"postal_code": "006749649",
"telephone_number": "787-414-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 6633 KM 0.1 SECTOR CAMPAMENTO",
"address_2": "BO HATO VIEJO",
"city": "CIALES",
"state": "PR",
"postal_code": "00638",
"telephone_number": "787-663-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-PAGAN",
"first_name": "STEPHANIE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "2074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ciales, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.