Individual provider Active NPI

Luis F Beaz Rivera, M.D.

  • Anesthesiology Physician
  • Cotto Laurel, PR
National Provider Identifier
1215906995
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10634 Issued in PR
Practice address
Mansion Real
Calle Rey Fernando 129
Cotto Laurel, PR 00780
Phone
(787) 812-3571
NPI assigned
Mar 16, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10634 PR Primary

Addresses

Primary practice location

Mansion Real
Calle Rey Fernando 129
Cotto Laurel, PR 00780

Mailing address

Mansion Real
Calle Rey Fernando 129
Cotto Laurel, PR 00780
Phone (787) 840-4117

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
I20110120000778 PR Practitioner - Anesthesiology 0941489199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-2080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Saint Lukes Memorial Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Anesthesia Providers Group, P.S.C. CurrentSince Sep 8, 2010 Accepting new patients
Anesthesia Associates Anesthesiology Past Accepting new patients

Locations

917 Ave Tito Castro
Ponce, PR 00716
Phone (787) 560-4314

917 Ave Tito Castro
#1
Ponce, PR 00716
Phone (787) 432-8161

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1215906995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSION REAL",
            "address_2": "CALLE REY FERNANDO 129",
            "city": "COTTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-840-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANSION REAL",
            "address_2": "CALLE REY FERNANDO 129",
            "city": "COTTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-812-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAZ RIVERA",
        "first_name": "LUIS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "10634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotto Laurel, PR

Sources for this page

Verify at the official NPI Registry.