Individual provider Active NPI

Jose A. Zayas Rivas, M.D.

  • Intermediate Emergency Medical Technician
  • Coamo, PR
National Provider Identifier
1285650192
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
13759 Issued in PR
Practice address
Desvio Calle Luis Munoz Marin
Carr 138
Coamo, PR 00769-0076
Phone
(787) 803-7017
Fax
(787) 803-0115
NPI assigned
Jul 14, 2006
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 13759 PR Primary

Addresses

Primary practice location

Desvio Calle Luis Munoz Marin
Carr 138
Coamo, PR 00769-0076

Mailing address

Urb. Villa Madrid
Calle 15 O1
Coamo, PR 00769
Phone (939) 529-0945

Other practice location 1

1207 Calle Luchetti
San Juan, PR 00907-1822
Phone (787) 721-6119

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
I20031126000051 PR Practitioner - General Practice 3476457870 Reassigns benefits to 1 organization
Practice locations: Coamo, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince May 1, 2021 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.zayasrivas@4048.securemail.prognocis.com

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1285650192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA MADRID",
            "address_2": "CALLE 15 O1",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "939-529-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DESVIO CALLE LUIS MUNOZ MARIN",
            "address_2": "CARR 138",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690076",
            "telephone_number": "787-803-7017",
            "fax_number": "787-803-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Calle Luchetti",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009071822",
            "country_code": "US",
            "telephone_number": "787-721-6119",
            "fax_number": "787-723-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAYAS RIVAS",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "PR",
            "license": "13759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.