Individual provider Active NPI

Cesar Rafael Rivera Reveron, M.D.

  • Internal Medicine Physician
  • Bayamon, PR
National Provider Identifier
1215985304
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11850 Issued in PR
Practice address
O29 Calle 19
Flamboyan Garden
Bayamon, PR 00959-5729
Phone
(787) 894-5041
Fax
(787) 894-5041
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11850 PR Primary

Addresses

Primary practice location

O29 Calle 19
Flamboyan Garden
Bayamon, PR 00959-5729

Mailing address

O29 Calle 19
Flamboyan Garden
Bayamon, PR 00959-5729
Phone (787) 894-5041

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
I20040821000047 PR Practitioner - Internal Medicine 0446224976 Practice locations: Arecibo, PR; Utuado, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 650-1030

89 Dr Cueto St
Suite B
Utuado, PR 00641-2804

Dr Cueto St
89 Suite B
Utuado, PR 00641-2804
Phone (787) 894-5041

Hospital & facility affiliations

  • Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Dr. Susoni. Inc. Past 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 and National Provider Directory roles.

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1215985304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "O29 CALLE 19",
            "address_2": "FLAMBOYAN GARDEN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595729",
            "telephone_number": "787-894-5041",
            "fax_number": "787-894-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "O29 CALLE 19",
            "address_2": "FLAMBOYAN GARDEN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595729",
            "telephone_number": "787-894-5041",
            "fax_number": "787-894-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA REVERON",
        "first_name": "CESAR",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.