Individual provider Active NPI

Gabriel Antonio Rivera-Rivera, MD

  • Otolaryngology Physician
  • Arecibo, PR
National Provider Identifier
1457882268
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
23072 Issued in PR
Practice address
153 Ave Jose de Diego
Arecibo, PR 00612-4779
Phone
(787) 379-6922
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 314280 NY
Otolaryngology Physician 207Y00000X 23072 PR Primary

Addresses

Primary practice location

153 Ave Jose de Diego
Arecibo, PR 00612-4779

Mailing address

PO Box 1176
Caguas, PR 00726-1176
Phone (787) 379-6922

Other practice location 1

55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 379-6922

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
I20230717003439 PR Practitioner - Otolaryngology 3375920952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
San Juan Bautista School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

153 Ave Jose de Diego
Arecibo, PR 00612-4779
Phone (787) 379-6922

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314280NYMDOtolaryngology Physician
23072PRMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT & Voice Group PSC Otolaryngology CurrentSince Jul 15, 2023 Accepting new patients

Locations

153 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 309-2546

55 Calle Palma
Arecibo, PR 00612
Phone (787) 605-0374

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: griverarivera2210930@nychhc.direct-ci.com

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1457882268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261176",
            "telephone_number": "787-379-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 AVE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124779",
            "telephone_number": "787-379-6922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Calle Palma",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006124526",
            "country_code": "US",
            "telephone_number": "787-379-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-RIVERA",
        "first_name": "GABRIEL",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "314280",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "23072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.