Carlos Xavier Rivera Rodriguez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

021965 Issued in PR

Practice address

Calle Hernandez Carrion
Urb. Atenas
Manati, PR 00674-1142

Phone

(787) 621-3700

NPI assigned

Oct 6, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1316497019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION",
            "address_2": "URB. ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741142",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RODRIGUEZ",
        "first_name": "CARLOS",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "021965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Enrique Rivera Lugo, DENTIST
• Hector J Rivera Maldonado, M.D.
• Ramiro Rivera Marini, PT
• Rocio Angelica Rivera Ortega, RD
• Hector Andre Rivera Ramos
• Awilda Rivera Rosado
• Solimar Rivera Rosario
• Kennie Rivera Russe, RDN, LND
• Gloriana Rivera Silva, MD
• Juan C Rivera-Arce, M. D.

• General Practice Physician in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.