Individual provider Active NPI

Pedro Luis Rivera, M.D.

  • General Practice Physician
  • Rio Piedras, PR
National Provider Identifier
1184830879
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9570 Issued in PR
Practice address
Ave Munoz Rivera 1Sr Floorbld. Darlington
Rio Piedras, PR 00925
Phone
(787) 344-1808
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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 9570 PR Primary

Addresses

Primary practice location

Ave Munoz Rivera 1Sr Floorbld. Darlington
Rio Piedras, PR 00925

Mailing address

209 Savannah Real
San Lorenzo, PR 00754
Phone (787) 344-1808

Other names 1

  • Prof. Pedro Luis Rivera Miranda Other name

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
I20130529000241 PR Practitioner - General Practice 4284872524 Reassigns benefits to 2 organizations
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9570PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey CurrentSince Jul 10, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 25, 2013 Accepting new patients
Hospital Menonita de Cayey General Practice CurrentSince Jul 10, 2019 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince May 25, 2013 Accepting new patients
Atencion Medica Inmediata Past Accepting new patients
Outpatient Surgery Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 6

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1184830879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SAVANNAH REAL",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-344-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA 1SR FLOORBLD. DARLINGTON",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-344-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEDRO",
            "last_name": "RIVERA MIRANDA",
            "middle_name": "LUIS",
            "prefix": "PROF.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.