Individual provider Active NPI

Lourdes Rivera, DPM

  • Foot Surgery Podiatrist
  • Bayamon, PR
National Provider Identifier
1457371817
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
DPM098 Issued in PR
Practice address
B12 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 778-6676
Fax
(787) 778-6676
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X DPM098 PR Primary

Addresses

Primary practice location

B12 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-6902

Mailing address

PO Box 3012
Bayamon, PR 00960-3012
Phone (787) 778-6676

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110205000021 PR Practitioner - Podiatry 0446465090 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR; Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 Santa Cruz St
Suite 412 Urb Sta Cruz
Bayamon, PR 00961-6942
Phone (787) 778-6676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue253
Removal or shaving of skin growth131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM098PRMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dra Lourdes Kutbi PSC Foot Surgery CurrentSince Nov 25, 2014 Accepting new patients

Locations

73 Calle Santa Cruz
Ste 412
Bayamon, PR 00961
Phone (787) 778-6676

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1457371817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3012",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603012",
            "telephone_number": "787-778-6676",
            "fax_number": "787-778-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B12 CALLE SANTA CRUZ",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-778-6676",
            "fax_number": "787-778-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PR",
            "license": "DPM098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.