Active NPI
Marco A. Rivera, M.D.
- Specialist
- San Juan, PR
National Provider Identifier
1821052291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6683
- Practice address
- 1051 Calle 3 SE
Medical Center Plaza 610, la Riviera
San Juan, PR 00921-3000 - Phone
- (787) 775-2412
- Fax
- (787) 781-1110
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6683 | PR | Primary |
Addresses
Primary practice location
1051 Calle 3 SE
Medical Center Plaza 610, la Riviera
San Juan, PR 00921-3000
Mailing address
1051 Calle 3 SE
Medical Center Plaza 610, la Riviera
San Juan, PR 00921-3000
Phone (787) 775-2412
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6683 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821052291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 CALLE 3 SE",
"address_2": "MEDICAL CENTER PLAZA 610, LA RIVIERA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213000",
"telephone_number": "787-775-2412",
"fax_number": "787-781-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 CALLE 3 SE",
"address_2": "MEDICAL CENTER PLAZA 610, LA RIVIERA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213000",
"telephone_number": "787-775-2412",
"fax_number": "787-781-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARCO",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "6683",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.