Active NPI
Ileana Rivera
- Family Medicine Physician
- Guaynabo, PR
National Provider Identifier
1912958380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15581
- Practice address
- Guaynabo Medical Mall
PMB 298 Suite 67
Guaynabo, PR 00969 - Phone
- (787) 273-1227
- NPI assigned
- May 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15581 | PR | Primary |
Addresses
Primary practice location
Guaynabo Medical Mall
PMB 298 Suite 67
Guaynabo, PR 00969
Mailing address
Villas de Ciudad Jardin
Canovanas, PR 00729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050623000659 | PR | Practitioner - General Practice | 4385689942 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15581 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912958380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLAS DE CIUDAD JARDIN",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GUAYNABO MEDICAL MALL",
"address_2": "PMB 298 SUITE 67",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-273-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ILEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "15581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.