Individual provider Active NPI

Gabriela Rivera Cardona, M.D

  • Anesthesiology Physician
  • Manati, PR
National Provider Identifier
1336599158
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21763 Issued in PR
Practice address
Carretera #2 KM 47.7
Manati, PR 00674
Phone
(787) 854-3322
NPI assigned
Jun 14, 2016
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 21763 PR Primary

Addresses

Primary practice location

Carretera #2 KM 47.7
Manati, PR 00674

Mailing address

St El Yunque B10 Colinas Metropolitanas
Guaynabo, PUERTO RICO 00969
UM
Phone (787) 758-2525

Other practice location 1

university district hospital puerto rico medical center
bo monacillos
San Juan, Puerto rico 00935-0001
UM
Phone (787) 754-0101

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
I20211116001718 PR Practitioner - Anesthesiology 4183013923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Puerto Rico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Acquisition I, LLCGroup PAC ID 4880047588, 7 clinicians
Hospitalist Medical Services PSCGroup PAC ID 3476833401, 18 clinicians

Practice addresses (Care Compare)

70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 624-4762

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone 78785433221191

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC CurrentSince Oct 1, 2021 Accepting new patients
Hospitalist Medical Services, PSC Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1336599158",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "ST EL YUNQUE B10 COLINAS METROPOLITANAS",
            "city": "GUAYNABO",
            "state": "PUERTO RICO",
            "postal_code": "00969",
            "telephone_number": "787-758-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #2 KM 47.7",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "university district hospital puerto rico medical center",
            "address_2": "bo monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "Puerto rico",
            "postal_code": "009350001",
            "country_code": "UM",
            "telephone_number": "787-754-0101",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "RIVERA CARDONA",
        "first_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "21763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.