Keila Liz Rivera - Roman, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

17545 Issued in PR

Practice address

300 Ave Domenech
San Juan, PR 00918-3509

Phone

(787) 765-7320

Fax

(787) 765-3230

NPI assigned

Dec 27, 2007

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Keila Liz Rivera Roman Professional name

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

PathologyAlso: Medical Genetics and Genomics

Education

Ponce School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001
• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
• Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Hato Rey Pathology Associates Inc

  dba HRP Labs

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1740460583
  Medicare reassignment Care Compare group NPD
• Hato Rey Pathology Associates,PSC

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1568640449
  NPD (past)

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

• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation
• Presbyterian Community Hospital, Inc

  dba Ashford Presbyterian Community Hospital

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813
  Care Compare affiliation
• SHC Owner LLC

  dba Doctors' Center Hospital - Orlando Health - Dorado

  • General Acute Care Hospital
  • Dorado, PR
  • NPI 1194480806
  Care Compare affiliation

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1255515193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366527",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366527",
            "telephone_number": "787-765-7320",
            "fax_number": "787-765-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183509",
            "telephone_number": "787-765-7320",
            "fax_number": "787-765-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA - ROMAN",
        "first_name": "KEILA",
        "middle_name": "LIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "PR",
            "license": "17545",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "17545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEILA",
            "last_name": "RIVERA ROMAN",
            "middle_name": "LIZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Josuan Rivas
• Julio Rivas
• Pedro L. Rivas, MD
• Shirley A Rivas
• Diego Rafael Rive
• Zurisadai Rivera Acosta, M.D.
• Mariela Melissa Rivera Agosto, MD
• Monica Rivera Agosto, M.D.
• Kiara Liz Rivera Alsina, BMSC, D.C.
• Carmen V Rivera Anaya, MD

• Anatomic Pathology & Clinical Pathology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.