Individual provider Active NPI

Angel S Rivera Martinez, M.D.

  • General Practice Physician
  • Comerio, PR
National Provider Identifier
1043413586
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16246 Issued in PR
Practice address
156 Ave 0.1 KM
Bo. Rio Hondo 2
Comerio, PR 00782-6833
Phone
(787) 299-3695
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16246 PR Primary

Addresses

Primary practice location

156 Ave 0.1 KM
Bo. Rio Hondo 2
Comerio, PR 00782-6833

Mailing address

HC 4 Box 6833
Comerio, PR 00782-6833
Phone (787) 299-3695

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
I20200529001446 PR Practitioner - General Practice 4880015882 Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16246PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1043413586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 6833",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007826833",
            "telephone_number": "787-299-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 AVE 0.1 KM",
            "address_2": "BO. RIO HONDO 2",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007826833",
            "telephone_number": "787-299-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MARTINEZ",
        "first_name": "ANGEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

Verify at the official NPI Registry.