Individual provider Active NPI

Amarilis Rivera Maldonado, MD

  • General Practice Physician
  • Cabo Rojo, PR
National Provider Identifier
1275986101
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19363 Issued in PR
Practice address
24 Calle Barbosa
Cabo Rojo, PR 00623-3511
Phone
(787) 808-5505
Fax
(787) 808-5504
NPI assigned
Jul 15, 2016
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19363 PR Primary

Addresses

Primary practice location

24 Calle Barbosa
Cabo Rojo, PR 00623-3511

Mailing address

139 Calle Playa
Cabo Rojo, PR 00623-8943
Phone (787) 808-5505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161206001613 PR Practitioner - General Practice 9830479088 Reassigns benefits to 3 organizations
Practice locations: Cabo Rojo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc CurrentSince Dec 30, 2018 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Oct 7, 2020 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Dec 30, 2018 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Oct 7, 2020 Accepting new patients
Amares LLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

24 Calle Rius Rivera
#3
Cabo Rojo, PR 00623
Phone (787) 808-5505

Organizations & group practices 5

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": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1275986101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CALLE PLAYA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006238943",
            "telephone_number": "787-808-5505",
            "fax_number": "787-808-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE BARBOSA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233511",
            "telephone_number": "787-808-5505",
            "fax_number": "787-808-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MALDONADO",
        "first_name": "AMARILIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.