Luis A. Rivera-Roman, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5279 Issued in PR

Practice address

28 Libertad St.
Jayuya, PR 00664

Phone

(787) 828-6420

NPI assigned

Sep 7, 2006

Last updated

Feb 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JM Health Clinic

  • General Practice Physician
  • Jayuya, PR
  • NPI 1992512735
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1447354873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LIBERTAD ST.",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "00664",
            "telephone_number": "787-828-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LIBERTAD ST.",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "00664",
            "telephone_number": "787-828-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-ROMAN",
        "first_name": "LUIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga E Reyes Marin, DMD
• Angelica Maria Reyes Rios, BSW
• Carlos Alberto Rivera Gonzalez, PHARMD
• Denisse M Rivera Gonzalez
• Nicolle Michelle Rivera- Medina
• Bethsa I Rivera
• Frank Rivera, TEM
• Lizette Rivera
• Marvi San Rodriguez Zayas, MT
• Rocio Rodriguez Rodriguez, PHARMD

• General Practice Physician in Jayuya, PR
• Providers in Jayuya, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.