Ismael Solis Rivera, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17189 Issued in PR

Practice address

100 Cii Saturnino Rodriguez
Yabucoa, PR 00767

Phone

(787) 953-0120

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bright Health PR LLC

  • General Practice Physician
  • Patillas, PR
  • NPI 1043141922
  NPD Authorized official
• Wal-Mart Puerto Rico Inc

  • Community/Retail Pharmacy
  • Ponce, PR
  • NPI 1285860312
  NPD (past)
• Medical Home Alliance LLC

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1184870925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D 19 URB VILLA MAR MEDITERRANEO",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "939-339-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CII SATURNINO RODRIGUEZ",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-953-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS RIVERA",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN425",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Migdalia Sepulveda, TECHNICIAN
• Jacqueline Serrano, RPH
• Servicios Pro Medico
• Carmen Milagros Silva Baez, MSN RN
• Awilda Solis Diaz, M.D.
• Carmen Zoraida Solis
• Tershya Marie Soto
• Sorivette Surillo-Ortiz, MD
• Terapiame C.P.
• Malma L. Toro

• General Practice Physician in Yabucoa, PR
• Providers in Yabucoa, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.