Stephanie Bermudez Rivera, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

19877 Issued in PR

Practice address

917 Ave Tito Castro
Ponce, PR 00716

Phone

(178) 784-4208

NPI assigned

Aug 11, 2015

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in FL, PR2 enrollments

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 2

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 and National Provider Directory roles.

• Hospital Damas Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1730159286

  PR

  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180

  Emergency Medicine, FL

  Medicare reassignment NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Jupiter, FL
  • NPI 1598748030

  Emergency Medicine, FL

  Medicare reassignment NPD
• Southern Anesthesia Associates LLC

  • Specialist
  • Ponce, PR
  • NPI 1336120153
  NPD
• Sheridan Emergency Physician Services Inc

  • Emergency Medicine Physician
  • Bushnell, FL
  • NPI 1326619727

  Emergency Medicine

  NPD
• Sheridan Emergency Physician Services, Inc

  • Emergency Medicine Physician
  • Ocala, FL
  • NPI 1528206992

  Emergency Medicine

  NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1275909459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006771065",
            "telephone_number": "787-599-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "178-784-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 AVE HOSTOS MAYAGUEZ",
            "address_purpose": "LOCATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "country_code": "US",
            "telephone_number": "787-652-9200 x72809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMUDEZ RIVERA",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "19877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19877",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berdiel & Asociados CSP
• Miguel Jabbar Berdiel-Aponte, MD
• Jessica Maria Berenguer
• Natalia Marie Berlingeri-Aymat
• Edgardo Bermudez Moreno, MD
• Bermudez Ruiz Imaging,PSC
• Alexandra Marie Bermudez-Medina
• Emelisa Bermudez
• Marielle Bernard
• Daniela Del Carmen Bernardo Silva, MSC

• All providers in Ponce, PR
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.