Individual provider Active NPI

Erick G. Nieves Rivera, M.D.

  • Internal Medicine Physician
  • San Sebastian, PR
National Provider Identifier
1093897381
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8171 Issued in PR
Practice address
32 Calle Jesus T Pinero
San Sebastian, PR 00685-2227
Phone
(787) 280-2600
Fax
(787) 280-3611
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8171 PR Primary

Addresses

Primary practice location

32 Calle Jesus T Pinero
San Sebastian, PR 00685-2227

Mailing address

PO Box 1675
San Sebastian, PR 00685-1675
Phone (787) 280-2600

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
I20080201000027 PR Practitioner - Internal Medicine 4981786746 Practice locations: San Sebastian, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Calle Jesus T Pinero
San Sebastian, PR 00685-2227
Phone (787) 280-2600

Hospital & facility affiliations

  • Hospital San Carlos Borromeo Hospital, Moca, PR, CCN 400111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8171PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Especializado Medicina Interna Past Accepting new patients
Servicios Medicos Especializados del Pepino Inc Past Accepting new patients
Hospital San Carlos Incorporado Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1093897381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1675",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851675",
            "telephone_number": "787-280-2600",
            "fax_number": "787-280-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CALLE JESUS T PINERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852227",
            "telephone_number": "787-280-2600",
            "fax_number": "787-280-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES RIVERA",
        "first_name": "ERICK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.