Eddy A Mieses Ariza, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

11734 Issued in PR

Practice address

D3 Frontera Ave Villa Andalucia
Rios Piedras, PR 00926

Phone

(787) 761-1555

Fax

(787) 292-7260

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Cardiovascular Disease (Cardiology)

Education

University Central del Caribe Escuela de Medicina, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCS PSCGroup PAC ID 0244548485, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
• Centro Medico Wilma N Vazquez Hospital, Vega Baja, PR, CCN 400115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• CCS PSC

  • Cardiovascular Disease Physician
  • Guaynabo, PR
  • NPI 1174907760
  Medicare reassignment Care Compare group NPD
• Cardiovascular Diagnostic Center LLC

  • Specialist
  • Caguas, PR
  • NPI 1376013359
  Medicare reassignment NPD
• Instituto Medico del Norte Inc

  dba Centro Medico Wilma N Vazquez

  • General Acute Care Hospital
  • Vega Baja, PR
  • NPI 1154309169
  Medicare reassignment NPD
• CCK Medical CSP

  • Cardiovascular Disease Physician
  • NPI 1407931272

  PR

  Medicare reassignment
• Instituto Medico del Norte Inc

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1225802606
  NPD
• Cardio Municipal

  • State or Local Public Health Clinic/Center
  • San Juan, PR
  • NPI 1841292422
  NPD (past)

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

• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1235124587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270011",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009282811",
            "telephone_number": "787-761-1555",
            "fax_number": "787-292-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D3 FRONTERA AVE VILLA ANDALUCIA",
            "city": "RIOS PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-761-1555",
            "fax_number": "787-292-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESES ARIZA",
        "first_name": "EDDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "11734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTE",
            "identifier": "220174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MMM",
            "identifier": "601591",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMANA",
            "identifier": "9590091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BASUR",
            "identifier": "060154",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "88493MI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.