Individual provider Active NPI

Delmari Rivera Fernandez, O.D.

  • Optometrist
  • Carolina, PR
National Provider Identifier
1881655587
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0123 Issued in PR
Practice address
Ave Monserrate
Villa Fontana
Carolina, PR 00985-5444
Phone
(787) 762-5465
Fax
(787) 762-5495
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0123 PR Primary

Addresses

Primary practice location

Ave Monserrate
Villa Fontana
Carolina, PR 00985-5444

Mailing address

PMB 540-6017
Carolina, PR 00984-6017
Phone (787) 762-5465

Other names 1

  • Delmarie Fe Rivera Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160907000586 PR Order and Referring Only - OptometryPractitioner - Optometry 0143133561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0123PRMDOptometrist
123PRMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1881655587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 540-6017",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009846017",
            "telephone_number": "787-762-5465",
            "fax_number": "787-762-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MONSERRATE",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855444",
            "telephone_number": "787-762-5465",
            "fax_number": "787-762-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA FERNANDEZ",
        "first_name": "DELMARI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "0123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELMARIE",
            "last_name": "RIVERA",
            "middle_name": "FE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.