Individual provider Active NPI

Jose Luis Cangiano-Rivera, M.D.

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1407969702
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3416 Issued in PR
Practice address
313 Ave Domenech
Suite 101
San Juan, PR 00918-3531
Phone
(787) 763-7423
Fax
(787) 763-2039
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3416 PR Primary

Addresses

Primary practice location

313 Ave Domenech
Suite 101
San Juan, PR 00918-3531

Mailing address

PO Box 11428
San Juan, PR 00910-2528
Phone (787) 763-7423

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
I20110104001189 PR Practitioner - Nephrology 4385554245 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Puerto Rico School of Medicine, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

998 Ave Munoz Rivera
San Juan, PR 00927-4308
Phone (787) 722-1248

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3416PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Renalife, PSC Nephrology PastSince Sep 20, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1407969702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11428",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009102528",
            "telephone_number": "787-763-7423",
            "fax_number": "787-763-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 AVE DOMENECH",
            "address_2": "SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183531",
            "telephone_number": "787-763-7423",
            "fax_number": "787-763-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGIANO-RIVERA",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.