Individual provider Active NPI

Sharon V Zaragoza Rivera, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1184859134
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16045 Issued in PR
Practice address
Torre Medica San Lucas 909
Ave Tito Castro St 717
Ponce, PR 00716
Phone
(787) 841-5549
Fax
(787) 840-3030
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 16045 PR Primary

Addresses

Primary practice location

Torre Medica San Lucas 909
Ave Tito Castro St 717
Ponce, PR 00716

Mailing address

Calle J.Cortada Quintana Urb Las Delicias
#2104
Ponce, PR 00728
Phone (787) 220-5420

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
I20051102000273 PR Practitioner - General Practice 9335166990 Practice locations: Juncos, PR; Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16045PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Perioperative Consultants PSC CurrentSince Mar 21, 2021 Accepting new patients

Locations

909 Ave Tito Castro
Ste 717
Ponce, PR 00716
Phone (787) 453-0583

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": "1616025600000",
    "number": "1184859134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE J.CORTADA QUINTANA URB LAS DELICIAS",
            "address_2": "#2104",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-220-5420",
            "fax_number": "787-840-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN LUCAS 909",
            "address_2": "AVE TITO CASTRO ST 717",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-5549",
            "fax_number": "787-840-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAGOZA RIVERA",
        "first_name": "SHARON",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.