Individual provider Active NPI

Tomas Humberto Rivera, MD

  • Family Medicine Physician
  • Aguada, PR
National Provider Identifier
1417927237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5574 Issued in PR
Practice address
251 Calle la Paz
Aguada, PR 00602-2940
Phone
(787) 868-9010
Fax
(787) 252-5013
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5574 PR Primary

Addresses

Primary practice location

251 Calle la Paz
Aguada, PR 00602-2940

Mailing address

251 Calle la Paz
Aguada, PR 00602-2940
Phone (787) 868-9010

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
I20111121000853 PR Practitioner - Family Practice 7618007386 Practice locations: Aguada, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

251 Calle la Paz
Aguada, PR 00602-2940
Phone (787) 868-9010

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417927237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CALLE LA PAZ",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022940",
            "telephone_number": "787-868-9010",
            "fax_number": "787-252-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CALLE LA PAZ",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022940",
            "telephone_number": "787-868-9010",
            "fax_number": "787-252-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "TOMAS",
        "middle_name": "HUMBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "5574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.