Individual provider Active NPI

Carlos Jose Rivera, RPT

  • Physical Therapist
  • San Juan, PR
National Provider Identifier
1245448059
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
929 Issued in PR
Practice address
100 Grand Boulevard Paseos
Galeria Paseos Mall - Suite 109
San Juan, PR 00926
Phone
(787) 283-1554
Fax
(787) 283-2776
NPI assigned
May 18, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 929 PR Primary
Sports Physical Therapist 2251S0007X 929 PR

Addresses

Primary practice location

100 Grand Boulevard Paseos
Galeria Paseos Mall - Suite 109
San Juan, PR 00926

Mailing address

100 Grand Boulevard Paseos
Suite 112-248
San Juan, PR 00926
Phone (787) 632-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000416 PR Practitioner - Physical Therapist in Private Practice 7012172612 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Un of California, Irvine, College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Fisiatrico Carolina LLCGroup PAC ID 3779899125, 3 clinicians

Practice addresses (Care Compare)

5 -3 Calle
Suite 8
Carolina, PR 00983-2966
Phone (787) 400-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
929PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico Carolina LLC CurrentSince Jun 1, 2015 Accepting new patients
Cefisad Past Accepting new patients
PPTS, Inc. Past Accepting new patients

Locations

5-3 Calle 8
Carolina, PR 00983
Phone (787) 400-0102

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245448059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEOS",
            "address_2": "SUITE 112-248",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-632-1555",
            "fax_number": "787-283-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEOS",
            "address_2": "GALERIA PASEOS MALL - SUITE 109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-283-1554",
            "fax_number": "787-283-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "929",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "PR",
            "license": "929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.