Active NPI
Catherine Rivera Matos
- Nutritionist
- San Juan, PR
National Provider Identifier
1922884964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 883
- Practice address
- MCS Plaza Hato Rey Service Center MCS
First Floor Suite 105 Ave. Ponce de Leon
San Juan, PR 00916-1919 - Phone
- (787) 281-2800
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 883 | PR | Primary |
Addresses
Primary practice location
MCS Plaza Hato Rey Service Center MCS
First Floor Suite 105 Ave. Ponce de Leon
San Juan, PR 00916-1919
Mailing address
529 Calle Padre Delgado
Vega Alta, PR 00692-5823
Phone (787) 391-8468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231020002776 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 2860848280 | Practice locations: Vega Alta, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 883 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1922884964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 CALLE PADRE DELGADO",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006925823",
"telephone_number": "787-391-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCS PLAZA HATO REY SERVICE CENTER MCS",
"address_2": "FIRST FLOOR SUITE 105 AVE. PONCE DE LEON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009161919",
"telephone_number": "787-281-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA MATOS",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.