Individual provider Active NPI

Neimy Marie Rivera Hernandez, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1831962364
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23561 Issued in PR
Practice address
Carr PR 506 K.M 1.0
Bo Coto Laurel
Ponce, PR 00780
Phone
(787) 848-2100
NPI assigned
Nov 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23561 PR Primary

Addresses

Primary practice location

Carr PR 506 K.M 1.0
Bo Coto Laurel
Ponce, PR 00780

Mailing address

PO Box 246
Aibonito, PR 00705-0246
Phone (939) 274-4105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612002181 PR Practitioner - General Practice 3779003173 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1831962364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050246",
            "telephone_number": "939-274-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR 506 K.M 1.0",
            "address_2": "BO COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-848-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA HERNANDEZ",
        "first_name": "NEIMY",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.