Individual provider Active NPI

Rosily Rivera Matos, MD

  • General Practice Physician
  • Ciales, PR
National Provider Identifier
1396717849
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
016236 Issued in PR
Practice address
Oficin Medica Carretera 149 KM 17.9 Bo Pesas
Sector Bella Vista Casa 8
Ciales, PR 00638
Phone
(787) 871-1441
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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 016236 PR Primary

Addresses

Primary practice location

Oficin Medica Carretera 149 KM 17.9 Bo Pesas
Sector Bella Vista Casa 8
Ciales, PR 00638

Mailing address

77 Calle Verano
Urb Praderas de Morovis Sur
Morovis, PR 00687
Phone (787) 398-0383

Other identifiers 1

IdentifierTypeStateIssuer
1396717849OtherPRTRIPLE S

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
I20060127000445 PR Practitioner - General Practice 1850305954 Practice locations: Ciales, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carretera 149 KM 17
Casa 8
Ciales, PR 00638
Phone (787) 871-1441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016236PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1396717849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE VERANO",
            "address_2": "URB PRADERAS DE MOROVIS SUR",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-398-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFICIN MEDICA CARRETERA 149 KM 17.9 BO PESAS",
            "address_2": "SECTOR BELLA VISTA CASA 8",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-871-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MATOS",
        "first_name": "ROSILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "016236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "1396717849",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

Verify at the official NPI Registry.