Samuel Rivera, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18138 Issued in PR

Practice address

Policlinica Bayaney Carr 129 KM. 15.1
Barrio Bayaney
Hatillo, PR 00659

Phone

(787) 898-7990

NPI assigned

Jun 18, 2007

Last updated

Jun 20, 2011By the provider in NPPES

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

Other identifiers 1

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

Gastroenterology

Education

University Central del Caribe Escuela de Medicina, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastrointestinal Diagnostic Clinic of PR, LLC

  • Endoscopy Clinic/Center
  • Manati, PR
  • NPI 1316384100
  Medicare reassignment
• Atlantic Emergency Group PSC

  • Multi-Specialty Clinic/Center
  • Hatillo, PR
  • NPI 1104935154
  Authorized official Same address or phone
• Grupo Medico Camuy Ipa 23

  • Multi-Specialty Clinic/Center
  • Hatillo, PR
  • NPI 1639288681
  Authorized official Same address or phone
• RS Gastroenterology, LLC

  • Gastroenterology Physician
  • Guaynabo, PR
  • NPI 1942697727
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1235334400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193335",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193335",
            "telephone_number": "787-646-9724",
            "fax_number": "787-261-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POLICLINICA BAYANEY CARR 129 KM. 15.1",
            "address_2": "BARRIO BAYANEY",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-898-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201418",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216950",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalva I Rivera, DMD
• Eileen Zoraya Rivera, MSW
• Enith Omayra Rivera, OTL
• Patricia Rivera
• Rafel E Rivera
• Sofia J Rivera
• Maristely Roa
• Robindranath Perez (Laboratorio Clinico Campo Alegre)
• Rigoberto Robles
• Korak Roca, OD

• Internal Medicine Physician in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.