Active NPI
Marina E Rivera-Virella, M.D.
- Neurology Physician
- San Juan, PR
National Provider Identifier
1972616563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 7821
- Practice address
- 354 Calle 32
Villa Nevarez
San Juan, PR 00927-5110 - Phone
- (787) 754-6085
- Fax
- (787) 765-4577
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 7821 | PR | Primary |
Addresses
Primary practice location
354 Calle 32
Villa Nevarez
San Juan, PR 00927-5110
Mailing address
E2 Calle Chestnut HL
Cambridge Park
San Juan, PR 00926-1451
Phone (787) 754-6085
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7820 | PR | MD | Psychologist |
| 7821 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuromovement MMG, LLC | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- San Juan, PR
- NPI 1639878697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972616563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E2 CALLE CHESTNUT HL",
"address_2": "CAMBRIDGE PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009261451",
"telephone_number": "787-754-6085",
"fax_number": "787-765-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 CALLE 32",
"address_2": "VILLA NEVAREZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009275110",
"telephone_number": "787-754-6085",
"fax_number": "787-765-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-VIRELLA",
"first_name": "MARINA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "7821",
"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 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.