Individual provider Active NPI

Samuel Sanchez Rivera, MD

  • Dermatology Physician
  • Caguas, PR
National Provider Identifier
1154543221
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15120 Issued in PR
Practice address
200 Grand Boulevard Los Prados
Plaza Los Prados Suite Z-5
Caguas, PR 00727-9507
Phone
(787) 746-3136
Fax
(787) 745-1585
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15120 PR Primary

Addresses

Primary practice location

200 Grand Boulevard Los Prados
Plaza Los Prados Suite Z-5
Caguas, PR 00727-9507

Mailing address

PO Box 6775
Caguas, PR 00726-6775
Phone (787) 746-3136

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
I20070822000212 PR Practitioner - Dermatology 3779675806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Grand Blvd Los Prados
Caguas, PR 00727-9507
Phone (787) 746-3136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions269
Removal or shaving of skin growth1-10
Skin biopsy68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dra. Karen Cruz P.S.C. PastSince Aug 2, 2007 Accepting new patients
Recinto de Ciencias Medicas Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: samuel.sanchez.p1@direct.vitacare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1154543221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6775",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266775",
            "telephone_number": "787-746-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND BOULEVARD LOS PRADOS",
            "address_2": "PLAZA LOS PRADOS SUITE Z-5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007279507",
            "telephone_number": "787-746-3136",
            "fax_number": "787-745-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ RIVERA",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "15120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.