Individual provider Active NPI

Nilda Raquel Rivera-Hernandez, M.D.

  • Family Medicine Physician
  • Corozal, PR
National Provider Identifier
1922126440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14002 Issued in PR
Practice address
Barrio Pueblo, Desvio Norte
Carretera Estatal 159, KM. 13.9
Corozal, PR 00783-0594
Phone
(787) 859-0200
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14002 PR Primary

Addresses

Primary practice location

Barrio Pueblo, Desvio Norte
Carretera Estatal 159, KM. 13.9
Corozal, PR 00783-0594

Mailing address

PMB 214
PO Box 144100
Arecibo, PR 00614-4100
Phone (787) 487-7325

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

LicenseStateTypeSpecialty
14002PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922126440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 214",
            "address_2": "PO BOX 144100",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144100",
            "telephone_number": "787-487-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO PUEBLO, DESVIO NORTE",
            "address_2": "CARRETERA ESTATAL 159, KM. 13.9",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830594",
            "telephone_number": "787-859-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-HERNANDEZ",
        "first_name": "NILDA",
        "middle_name": "RAQUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.