Individual provider Active NPI

Manuel H. Rivera, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1386616258
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15792 Issued in PR
Practice address
Carr #1 KM 26.9 Bo. Rio Canas Sect. la Changa
Caguas, PR 00725
Phone
(787) 505-5749
Fax
(787) 653-6700
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 15792 PR Primary

Addresses

Primary practice location

Carr #1 KM 26.9 Bo. Rio Canas Sect. la Changa
Caguas, PR 00725

Mailing address

Urb. Palacios del Monte #1546 C/Kilimanjaro D-12
Toa Alta, PR 00953
Phone (787) 505-5749

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
I20051207000160 PR Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 7012937980 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Urb Agustin Stahl
Carr 174 79 Suite 3
Bayamon, PR 00956
Phone (787) 505-5749

Hospital & facility affiliations

  • Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527
  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530
  • Hospicio Luz Celeste Hospice, Caguas, PR, CCN 401576

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NCP. Inc. General Practice CurrentSince Apr 25, 2019 Accepting new patients
Sunny Health Care, PSC. General Practice Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1386616258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. PALACIOS DEL MONTE #1546 C/KILIMANJARO D-12",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-505-5749",
            "fax_number": "787-505-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #1 KM 26.9 BO. RIO CANAS SECT. LA CHANGA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-505-5749",
            "fax_number": "787-653-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MANUEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.