Individual provider Active NPI

Jose Amado Maymi Rivera, M.D.

  • Specialist
  • Bayamon, PR
National Provider Identifier
1124085790
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7681 Issued in PR
Practice address
100 Paseo San Pablo Ste 410
Bayamon, PR 00961-7028
Phone
(787) 780-0970
Fax
(787) 780-5240
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 7681 PR
Specialist 174400000X 7681 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo Ste 410
Bayamon, PR 00961-7028

Mailing address

100 Paseo San Pablo Ste 410
Bayamon, PR 00961-7028
Phone (787) 780-0970

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
I20090114000478 PR Practitioner - Urology 1951464130 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Paseo San Pablo
Suite 410
Bayamon, PR 00961-7028

Paseo San Pablo
100 Suite 410
Bayamon, PR 00961-7028
Phone (787) 780-0970

Hospital & facility affiliations

  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137
  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109
  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection28
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7681PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
FPRM CurrentSince Jul 31, 2023 Accepting new patients

Locations

100 Paseo San Pablo
Ste 410
Bayamon, PR 00961
Phone (787) 780-0970

Interoperability endpoints

  • Direct secure messaging: jmaymirivera@1633.securemail.prognocis.com

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.

Hospital & facility affiliations 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1124085790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO STE 410",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617028",
            "telephone_number": "787-780-0970",
            "fax_number": "787-780-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO STE 410",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617028",
            "telephone_number": "787-780-0970",
            "fax_number": "787-780-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYMI RIVERA",
        "first_name": "JOSE",
        "middle_name": "AMADO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "7681",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.