Individual provider Active NPI

Jose Raul Alvarez Rivera, M.D.

  • Gynecology Physician
  • San Juan, PR
National Provider Identifier
1417053315
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8517 Issued in PR
Practice address
Torre Medica Auxilio Mutuo
735 Ave Ponce de Leon Avenue Suite 505
San Juan, PR 00917-5026
Phone
(787) 294-0350
Fax
(787) 294-0352
NPI assigned
Sep 16, 2006
Last updated
Aug 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 8517 PR Primary

Addresses

Primary practice location

Torre Medica Auxilio Mutuo
735 Ave Ponce de Leon Avenue Suite 505
San Juan, PR 00917-5026

Mailing address

Torre Medica Auxilio Mutuo
735 Ponce de Leon Avenue Suite 505
San Juan, PR 00919
Phone (787) 294-0350

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
I20031118000774 PR Practitioner - Obstetrics/Gynecology 9436063906 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 505
San Juan, PR 00917-5026
Phone (787) 294-0350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8517PRMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1417053315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA AUXILIO MUTUO",
            "address_2": "735 PONCE DE LEON AVENUE SUITE 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-294-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA AUXILIO MUTUO",
            "address_2": "735 AVE PONCE DE LEON AVENUE SUITE 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175026",
            "telephone_number": "787-294-0350",
            "fax_number": "787-294-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ RIVERA",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "8517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.