Active NPI
RRB Heart & Vascular Physicians, PSC
- Interventional Cardiology Physician
- Ponce, PR
National Provider Identifier
1023399441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 16384
- Legal business name
- RRB HEART & VASCULAR PHYSICIANS, PSC
- Practice address
- 909 Ave Tito Castro
Torre Medica San Lucas Suite 504
Ponce, PR 00716-4728 - Phone
- (787) 709-0791
- NPI assigned
- Aug 30, 2011
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Rafael J Rivera Berrios, MD
- Title
- President
- Phone
- (787) 709-0791
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Ponce, PR
- NPI 1003911264
Interventional Cardiology, PR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111028000064 | PR | Part B Supplier - Clinic/Group Practice | 4486827987 |
Receives reassigned benefits from 1 practitioner Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryLocations
909 Ave Tito Castro
Ste 504
Ponce, PR 00716
Phone (787) 651-1432
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 16384 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
909 Ave Tito Castro
Torre Medica San Lucas Suite 504
Ponce, PR 00716-4728
Mailing address
PMB 374 Ave Tito Castro
Ste 102
Ponce, PR 00716
Phone (787) 709-0791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2011.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314662400000",
"number": "1023399441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 374 AVE TITO CASTRO",
"address_2": "STE 102",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-709-0791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 AVE TITO CASTRO",
"address_2": "TORRE MEDICA SAN LUCAS SUITE 504",
"city": "PONCE",
"state": "PR",
"postal_code": "007164728",
"telephone_number": "787-709-0791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RRB HEART & VASCULAR PHYSICIANS, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A",
"authorized_official_last_name": "RIVERA BERRIOS",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-709-0791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PR",
"license": "16384",
"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 Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.