Organization Active NPI

RRB Heart & Vascular Physicians, PSC

  • Interventional Cardiology Physician
  • Ponce, PR
National Provider Identifier
1023399441
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
16384 Issued in PR
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
Last updated
Aug 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Rafael J Rivera Berrios, MD
Title
President
Phone
(787) 709-0791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 16384 PR Primary

Addresses

Primary 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111028000064 PR Part B Supplier - Clinic/Group Practice 4486827987 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 504
Ponce, PR 00716
Phone (787) 651-1432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.