Individual provider Active NPI

Luis A Martinez-Rivera, M.D

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • San Juan, PR
National Provider Identifier
1093846875
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
16657 Issued in PR
Practice address
300 Ave Dona Felisa Rincon de Ste 43
300 Ave Dona Felisa Rincon
San Juan, PR 00926-5970
Phone
(787) 761-5880
Fax
(787) 761-5880
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 16657 PR Primary

Addresses

Primary practice location

300 Ave Dona Felisa Rincon de Ste 43
300 Ave Dona Felisa Rincon
San Juan, PR 00926-5970

Mailing address

Ave. Felisa Rincon #300
Las Vistas Shopping Center Suite 43
San Juan, PR 00926-2805
Phone (787) 761-5880

Other identifiers 1

IdentifierTypeStateIssuer
16657OtherPRMEDICAL LICENSE

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
I20110811000571 PR Practitioner - General Practice 4082883848 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16657PRMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xyrion Medical Institute General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1093846875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. FELISA RINCON #300",
            "address_2": "LAS VISTAS SHOPPING CENTER SUITE 43",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262805",
            "telephone_number": "787-761-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE DONA FELISA RINCON DE STE 43",
            "address_2": "300 AVE DONA FELISA RINCON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265970",
            "telephone_number": "787-761-5880",
            "fax_number": "787-761-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ-RIVERA",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PR",
            "license": "16657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16657",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.