Active NPI
Emerge PBC
- Multi-Specialty Clinic/Center
- San Juan, PR
National Provider Identifier
1205516366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- EMERGE PBC
- Practice address
- 105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927 - Phone
- (939) 237-4793
- Fax
- (866) 379-9205
- NPI assigned
- Jul 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maribel Campos Rivera, MD MSC MBA
- Title
- President
- Phone
- (787) 436-8857
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Pediatric Obesity Medicine Physician | 2080B0002X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | |||
| Corporate Health Clinic/Center | 261QC1800X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Research Clinic/Center | 261QR1100X |
Addresses
Primary practice location
105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927
Mailing address
PO Box 70344
San Juan, PR 00936-8344
Phone (939) 237-4793
Other names 1
- Emergemos
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | resultados@emergemos.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260525000632 | PR | Part B Supplier - Clinic/Group Practice | 2769952357 |
Receives reassigned benefits from 2 practitioners Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Integrative Medicine Physician
- San Juan, PR
- NPI 1669496873
Obesity Medicine, PR
-
- Nutrition Education Nutritionist
- San Juan, PR
- NPI 1689832073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1205516366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70344",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009368344",
"telephone_number": "939-237-4793",
"fax_number": "866-379-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ROAD 21 KM 0.8 MONACILLO WARD",
"address_2": "FIRST FLOOR FORWARD CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "939-237-4793",
"fax_number": "866-379-9205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGE PBC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "CAMPOS RIVERA",
"authorized_official_first_name": "MARIBEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-436-8857",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD MSC MBA"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "resultados@emergemos.org",
"affiliation": "N",
"endpointDescription": "Dedicated Email for HIE at primary organization.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PDF Reports",
"address_1": "105 Road 21 Km 0.8 Monacillo Ward",
"address_2": "First Floor Forward Center",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "00927",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Emergemos",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan, PR
- Omar Elwishahi, MD
- Natalie Ivelisse Emanuelli Vazquez
- Pedro Luis Emanuelli, D.M.D.
- Emcara Health of Puerto Rico, LLC
- Eme Dental Clinic
- Emergency & Pediatric Specialists of P.R. PSC
- Emergency Department Medical Services, CSP
- Emmanuel Gonzalez Irizarry Acs LLC
- Emmanuel Home Care Services Inc
- Empleos Ahora Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.