Individual provider Active NPI

Juan Oscar Rivera, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1184859001
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17554 Issued in PR
Practice address
76 Calle Tenerife
Urb. Sultana
Mayaguez, PR 00680-1462
Phone
(787) 422-2059
Fax
(787) 856-5326
NPI assigned
May 20, 2009
Last updated
May 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2009

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 17554 PR Primary

Addresses

Primary practice location

76 Calle Tenerife
Urb. Sultana
Mayaguez, PR 00680-1462

Mailing address

76 Calle Tenerife
Urb. Sultana
Mayaguez, PR 00680-1462
Phone (787) 422-2059

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
I20150213000666 PR Practitioner - General Practice 1850616889 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Val Harbour Plaza
101 445 Ave. Gonzalez Clemente
Mayaguez, PR 00680
Phone (787) 422-2059

Val Harbour Plaza Box
102 445 Ave. Gonzalez Clemente
Mayaguez, PR 00680

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc CurrentSince May 22, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1184859001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CALLE TENERIFE",
            "address_2": "URB. SULTANA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801462",
            "telephone_number": "787-422-2059",
            "fax_number": "787-856-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE TENERIFE",
            "address_2": "URB. SULTANA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801462",
            "telephone_number": "787-422-2059",
            "fax_number": "787-856-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUAN",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.