Fernando J Rivera, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16659 Issued in PR

Practice address

909 Tito Castro Ave
Torre Medica Hosp San Lucas Suite 105
Ponce, PR 00716-4802

Phone

(787) 651-1435

Fax

(787) 651-1436

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fernando.riveramunoz@4263.securemail.prognocis.com
• Direct secure messaging: fernando.riveramunoz@4048.securemail.prognocis.com
• Direct secure messaging: fernando.rivera.1@31905.direct.athenahealth.com

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.

• Clinica Las Americas Guaynabo, Inc

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1326096058
  Medicare reassignment NPD
• Preventive Care Services by Apex

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1699321968
  NPD (past) Authorized official
• Clinica Las Americas Guaynabo, Inc

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • San Juan, PR
  • NPI 1366053845
  NPD
• Preventive Care Services by Apex

  • Primary Care Clinic/Center
  • Ponce, PR
  • NPI 1538518261
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1073687992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE TITO CASTRO 909, TORRE MEDICA SAN LUCAS",
            "address_2": "SUITE 105",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164802",
            "telephone_number": "787-429-5151",
            "fax_number": "787-651-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TITO CASTRO AVE",
            "address_2": "TORRE MEDICA HOSP SAN LUCAS SUITE 105",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164802",
            "telephone_number": "787-651-1435",
            "fax_number": "787-651-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FERNANDO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Yanira Rivera, BSN
• Emely Rivera, LND
• Erick Sebastian Rivera
• Evelyn Rivera, M.D.
• Felisha Annette Rivera
• Gabriel De Jesus Rivera
• Grace Cristina Rivera
• Hector Rivera
• Hilda M. Rivera, PSYD
• Irving Rivera

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.