Individual provider Active NPI

Rafael A Rivera Colon, RN

  • College Health Registered Nurse
  • Villalba, PR
National Provider Identifier
1902459779
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
85534 Issued in PR
Practice address
512 Calle Lirios
Urb Vista Alegre
Villalba, PR 00766-2418
Phone
(939) 209-9968
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 770045 NY
College Health Registered Nurse 163WC1400X 85534 PR Primary

Addresses

Primary practice location

512 Calle Lirios
Urb Vista Alegre
Villalba, PR 00766-2418

Mailing address

512 Calle Lirios
Urb Vista Alegre
Villalba, PR 00766
Phone (393) 209-9968

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
85534PRMDCollege Health Registered Nurse
770045NYMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1902459779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CALLE LIRIOS",
            "address_2": "URB VISTA ALEGRE",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "393-209-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CALLE LIRIOS",
            "address_2": "URB VISTA ALEGRE",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662418",
            "telephone_number": "939-209-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA COLON",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "770045",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "PR",
            "license": "85534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.