Individual provider Active NPI

Denisse Reyes Rivas, MD

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1962213900
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24202 Issued in PR
Practice address
5 Calle Barbosa
Isabela, PR 00662-2956
Phone
(787) 940-3775
NPI assigned
Jan 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 24202 PR Primary

Addresses

Primary practice location

5 Calle Barbosa
Isabela, PR 00662-2956

Mailing address

PO Box 227
Hatillo, PR 00659-9998
Phone (787) 940-3775

Other practice location 1

PO Box 227
Hatillo, PR 00659-9998
Phone (787) 940-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324000984 PR Practitioner - General Practice 2567984172 Practice locations: Isabela, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24202PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1962213900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599998",
            "telephone_number": "787-940-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622956",
            "telephone_number": "787-940-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 227",
            "address_purpose": "LOCATION",
            "city": "Hatillo",
            "state": "PR",
            "postal_code": "006599998",
            "country_code": "US",
            "telephone_number": "787-940-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES RIVAS",
        "first_name": "DENISSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

Verify at the official NPI Registry.