Active NPI
Ada Iris Rivera, M.D.
- Prison Health Clinic/Center
- Guaynabo, PR
National Provider Identifier
1942419841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- License
- 5888
- Practice address
- 652 Carretera 28
Metropolitan Detention Center
Guaynabo, PR 00962-5700 - Phone
- (787) 775-7927
- Fax
- (787) 775-7994
- NPI assigned
- May 21, 2007
- Last updated
- Mar 12, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | 5888 | PR | Primary |
| Internal Medicine Physician | 207R00000X | 5888 | PR |
Addresses
Primary practice location
652 Carretera 28
Metropolitan Detention Center
Guaynabo, PR 00962-5700
Mailing address
RR 3 Box 7289
La Peninsula
Cidra, PR 00739-9346
Phone (787) 775-7927
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5888 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1942419841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 7289",
"address_2": "LA PENINSULA",
"city": "CIDRA",
"state": "PR",
"postal_code": "007399346",
"telephone_number": "787-775-7927",
"fax_number": "787-775-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 CARRETERA 28",
"address_2": "METROPOLITAN DETENTION CENTER",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009625700",
"telephone_number": "787-775-7927",
"fax_number": "787-775-7994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ADA",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": "PR",
"license": "5888",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "5888",
"primary": false
}
],
"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 Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.