Individual provider Active NPI

Lorenzo Emilio Ross Rivera, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1154364107
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11413 Issued in PR
Practice address
Urb. Jard. de Monte Olivo
67 Zeus Street
Guayama, PR 00784
Phone
(178) 786-4823
Fax
(178) 783-9398
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11413 PR Primary

Addresses

Primary practice location

Urb. Jard. de Monte Olivo
67 Zeus Street
Guayama, PR 00784

Mailing address

PO Box 759
Arroyo, PR 00714-0759
Phone (178) 786-4823

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
I20081218000047 PR Practitioner - General Practice 1557423001 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1413PRMDGeneral Practice Dentistry
11413PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. CurrentSince Dec 30, 2013 Accepting new patients
Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. Current Accepting new patients

Locations

46 Calle Morse
Arroyo, PR 00714

Organizations & group practices 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154364107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140759",
            "telephone_number": "178-786-4823",
            "fax_number": "178-783-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. JARD. DE MONTE OLIVO",
            "address_2": "67 ZEUS STREET",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "178-786-4823",
            "fax_number": "178-783-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS RIVERA",
        "first_name": "LORENZO",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.