Active NPI
Mirelis Del Carmen Rivera-Rodriguez, MPT
- Physical Therapist
- San Juan, PR
National Provider Identifier
1932596830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4509
- Practice address
- 1260 Calle 54 SE
Urb. la Riviera
San Juan, PR 00921-3143 - Phone
- (787) 999-5538
- NPI assigned
- Apr 20, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4509 | PR | Primary |
Addresses
Primary practice location
1260 Calle 54 SE
Urb. la Riviera
San Juan, PR 00921-3143
Mailing address
1260 Calle 54 SE
Urbanizacion la Riviera
San Juan, PR 00921-3143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4509 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1932596830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 CALLE 54 SE",
"address_2": "URBANIZACION LA RIVIERA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 CALLE 54 SE",
"address_2": "URB. LA RIVIERA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213143",
"telephone_number": "787-999-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-RODRIGUEZ",
"first_name": "MIRELIS",
"middle_name": "DEL CARMEN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "4509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Anibal Rivera-Rivera, M.D
- Naiomi Rivera-Rivera, PHD
- Stephanie Rivera-Rivera
- Christopher Jose Rivera-Rodriguez, DMD, MPH, MSMS
- Jose Alberto Rivera-Rodriguez, MEDICINE DOCTOR
- Noridza Rivera-Rodriguez
- Yovalery Rivera-Rodriguez
- Carmen M Rivera-Rosa, OPTICIAN
- Manuel Rivera-Santiago
- Santiago Rivera-Santos, PH. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.