Victor M Rivera Riestra, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17467 Issued in PR

Practice address

Carr#2, KM 67.7, Bo. Santana
Arecibo, PR 00612

Phone

(939) 644-7043

Fax

(800) 783-9548

NPI assigned

Feb 20, 2009

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

Specialty

General Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Los Pinos Medical Center LLCGroup PAC ID 3678988409, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospicio Luz de Esperanza Inc Hospice, Manati, PR, CCN 401574

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Los Pinos Medical Center LLC

  • General Practice Physician
  • Arecibo, PR
  • NPI 1053926451
  Medicare reassignment Care Compare group NPD Authorized official
• Primary and Preventive Medicine PSC

  • General Practice Physician
  • Arecibo, PR
  • NPI 1821354721
  NPD (past)

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

• Hospicio Luz de Esperanza Inc.

  • Community Based Hospice Care Agency
  • Manati, PR
  • NPI 1013459379
  Care Compare affiliation

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1124268800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SABANERA DORADO",
            "address_2": "CAMINO AGUIRRE #542",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463648",
            "telephone_number": "787-315-8801",
            "fax_number": "844-858-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR#2, KM 67.7, BO. SANTANA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "939-644-7043",
            "fax_number": "800-783-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIESTRA",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nemesis Rivera Flores, MA
• Rivera Medical Equipment, Inc.
• Damaris Rivera Mercado, MD
• Lizmarie Rivera Morales
• Alexamary Rivera Planas, PHARMD
• Emanuel Rivera Rivera, BASIC EMT
• Abel Emanuel Rivera Roman
• Nadia Elena Rivera Roman
• Stephanie Marie Rivera Saavedra
• Ramon L. Rivera Schneider, M.D.

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, 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 Jan 29, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.