Pedro J Rivera Sr., RN

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

14797 Issued in PR

Practice address

239 Ave Arterial Hostos
Suite 806
San Juan, PR 00918-1474

Phone

(787) 536-0222

Fax

(787) 250-8156

NPI assigned

Feb 15, 2017

Last updated

Feb 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Ortho World Implants Inc

  • Specialist
  • Caguas, PR
  • NPI 1285060590
  Authorized official Same address or phone
• Dr.Juan L.Romero Basso CSP

  • Exclusive Provider Organization
  • San Juan, PR
  • NPI 1104210145
  NPD (past)
• New Center Medical Supply Inc.

  • Emergency Response System Companies
  • Caguas, PR
  • NPI 1972533362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1801335435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 806",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-536-0222",
            "fax_number": "787-250-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 806",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-536-0222",
            "fax_number": "787-250-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PEDRO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "PR",
            "license": "14797",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "PR",
            "license": "14797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otilio Jose Rivera, MD
• Paola Nicole Rivera
• Patricia Rivera
• Pedro Rivera, RPH
• Pedro Ivan Rivera, M.D.
• Rafael Rivera, M.S.
• Rafael Angel Rivera, M.D.
• Reinilda Rivera, MPH
• Renato Luis Rivera, M.D.
• Reynaldo Rivera, RRT,MHSA

• Nurse's Aide in San Juan, PR
• Providers in San Juan, PR by specialty
• Nurse's Aide in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.