Individual provider Active NPI

Alejandro Acosta Rivera, M.D.

  • Ophthalmology Physician
  • San German, PR
National Provider Identifier
1366431819
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8754 Issued in PR
Practice address
Calle Luna Esquina Salud #139
San German, PR 00683
Phone
(787) 892-4430
Fax
(787) 892-0083
NPI assigned
Oct 18, 2005
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 8754 PR Primary

Addresses

Primary practice location

Calle Luna Esquina Salud #139
San German, PR 00683

Mailing address

P.O. Box 869
Cabo Rojo, PR, PUERTO RICO 00623
UM
Phone (787) 892-4430

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
I20110204000917 PR Practitioner - Ophthalmology 2365622594 Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Ave Interamericana Esquina Salud
139 Calle Luna
San German, PR 00683
Phone (787) 892-0005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8754PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1366431819",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P.O. BOX 869",
            "city": "CABO ROJO, PR",
            "state": "PUERTO RICO",
            "postal_code": "00623",
            "telephone_number": "787-892-4430",
            "fax_number": "787-892-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUNA ESQUINA SALUD #139",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-4430",
            "fax_number": "787-892-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA RIVERA",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "8754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.