Individual provider Active NPI

Wilmarie Rivera Hernandez, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1023326733
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19527 Issued in PR
Practice address
617 Calle Manuel Pavia
San Juan, PR 00909
Phone
(787) 625-1446
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 19527 PR Primary

Addresses

Primary practice location

617 Calle Manuel Pavia
San Juan, PR 00909

Mailing address

PO Box 3310
Bayamon Gardens Station
Bayamon, PR 00958-0310

Other practice location 1

22 S Greene St
Baltimore, MD 21201-1544
Phone (800) 492-5538

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
I20171002003460 PR Practitioner - General PracticePractitioner - Diagnostic Radiology 5395039911 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribe Physicians Plaza CorporationGroup PAC ID 0042246712, 4 clinicians
Hato Tejas PSCGroup PAC ID 7315010246, 2 clinicians

Practice addresses (Care Compare)

151 Ave Osvaldo Molina
Fajardo, PR 00738-4013
Phone (787) 801-0081

Suite 862
Bayamon, PR 00959-4152
Phone (787) 787-1946

Hospital & facility affiliations

  • Caribbean Medical Center Hospital, Fajardo, PR, CCN 400131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Salud Integral En la Montana, Inc. Multi-Specialty Current Accepting new patients
Integrate Community Health System, Inc. Multi-Specialty CurrentSince Dec 23, 2024 Accepting new patients
M & P Radiologos, LLC Multi-Specialty CurrentSince Jul 21, 2017 Accepting new patients
Integrate Community Health System Multi-Specialty Current Accepting new patients
Hato Tejas PSC Multi-Specialty CurrentSince Jul 19, 2017 Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty Current Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty Current Accepting new patients
Centro Medico del Turabo Inc Multi-Specialty CurrentSince May 1, 2019 Accepting new patients
Guaynabo Radiology, LLC Multi-Specialty CurrentSince Jul 31, 2019 Accepting new patients
Fajardo Integrated Medical Center Multi-Specialty CurrentSince Aug 16, 2024 Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 1, 2019 Accepting new patients
Insight Management Group Inc Multi-Specialty CurrentSince Nov 23, 2019 Accepting new patients
Integrate Community Health System Multi-Specialty CurrentSince Dec 23, 2024 Accepting new patients
Salud Integral En la Montana, Inc. Multi-Specialty Current Accepting new patients
Zenith Health Group LLC Multi-Specialty Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

16 Calle Antonio R Barcelo
Toa Alta, PR 00953
Phone (787) 230-7190

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1023326733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3310",
            "address_2": "BAYAMON GARDENS STATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009580310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CALLE MANUEL PAVIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-625-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "800-492-5538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA HERNANDEZ",
        "first_name": "WILMARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "19527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.