Active NPI
Ileana Ivette Rivera-Burgos, MD
- Rheumatology Physician
- Ponce, PR
National Provider Identifier
1003131996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 21954
- Practice address
- 1010 Paseo del Veterano
Ponce, PR 00716-2001 - Phone
- (787) 492-0112
- NPI assigned
- Apr 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1565 | PR | |
| Internal Medicine Physician | 207R00000X | 21954 | PR | |
| Rheumatology Physician | 207RR0500X | 21954 | PR | Primary |
Addresses
Primary practice location
1010 Paseo del Veterano
Ponce, PR 00716-2001
Mailing address
1010 Paseo del Veterano
Ponce, PR 00716-2001
Phone (787) 492-0112
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812000658 | PR | Practitioner - Rheumatology | 3072051952 |
Reassigns benefits to 1 organization Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1565 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Anesthesia Associates LLC | Current | Accepting new patients | |
| Hospital Damas Inc | Rheumatology | Current | Accepting new patients |
| Liga Puertorriquena Contra El Cancer | Past | Accepting new patients |
Locations
2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802
1010 Paseo del Veterano
Ponce, PR 00716
Phone (787) 492-0111
Organizations & group practices 3
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.
-
- Specialist
- Ponce, PR
- NPI 1336120153
-
- Clinic/Center
- Rio Piedras, PR
- NPI 1174170765
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Damas Inc
Practice addresses (Care Compare)
1010 Paseo del Veterano
Ponce, PR 00716-2001
Phone 78749201112191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1003131996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PASEO DEL VETERANO",
"city": "PONCE",
"state": "PR",
"postal_code": "007162001",
"telephone_number": "787-492-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PASEO DEL VETERANO",
"city": "PONCE",
"state": "PR",
"postal_code": "007162001",
"telephone_number": "787-492-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-BURGOS",
"first_name": "ILEANA",
"middle_name": "IVETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-02",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1565",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "21954",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PR",
"license": "21954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.