Active NPI
Enrique Rivera-Mass, M.D.
- Child & Adolescent Psychiatry Physician
- San Juan, PR
National Provider Identifier
1811022270
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 6224
- Practice address
- 420 Ave Ponce de Leon
Midtown, Suite 509
San Juan, PR 00918-3416 - Phone
- (787) 756-5233
- Fax
- (787) 764-3943
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 6224 | PR | Primary |
Addresses
Primary practice location
420 Ave Ponce de Leon
Midtown, Suite 509
San Juan, PR 00918-3416
Mailing address
420 Ave Ponce de Leon
Midtown, Suite 509
San Juan, PR 00918-3416
Phone (787) 756-5233
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6224 | PR | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811022270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 AVE PONCE DE LEON",
"address_2": "MIDTOWN, SUITE 509",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183416",
"telephone_number": "787-756-5233",
"fax_number": "787-764-3943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 AVE PONCE DE LEON",
"address_2": "MIDTOWN, SUITE 509",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183416",
"telephone_number": "787-756-5233",
"fax_number": "787-764-3943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-MASS",
"first_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "6224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.