Individual provider Active NPI

Ivelisse Rivera Borges, MD

  • Nephrology Specialist/Technologist
  • San Juan, PR
National Provider Identifier
1508872227
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology Specialist/TechnologistTaxonomy code 246ZN0300X
License
12948 Issued in PR
Practice address
735 Ponce de Leon Avenue
Hosp Auxilio Mutuo Edificio San Vicente
San Juan, PR 00917-5022
Phone
(787) 568-5486
Fax
(787) 773-8041
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 12948 PR
Nephrology Specialist/Technologist 246ZN0300X 12948 PR Primary

Addresses

Primary practice location

735 Ponce de Leon Avenue
Hosp Auxilio Mutuo Edificio San Vicente
San Juan, PR 00917-5022

Mailing address

PO Box 195612
San Juan, PR 00919-5612
Phone (787) 562-3334

Other identifiers 2

IdentifierTypeStateIssuer
90266RJOtherPRSSS
90266RSOtherSSS INSURANCE

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
I20120314000043 PR Practitioner - NephrologyPractitioner - Internal Medicine 7911166756 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.Group PAC ID 4183602832, 54 clinicians

Practice addresses (Care Compare)

Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918-1000
Phone (787) 771-7934

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
66.19
Improvement activities
40
Cost
73.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Oct 17, 2019 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Oct 17, 2019 Accepting new patients
Cruz Soto & Padilla, Nefrologos, CSP Nephrology Past Accepting new patients
Nefrologia CSP Past Accepting new patients

Locations

715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216

715 Ave Ponce de Leon
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1508872227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195612",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195612",
            "telephone_number": "787-562-3334",
            "fax_number": "787-773-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVENUE",
            "address_2": "HOSP AUXILIO MUTUO EDIFICIO SAN VICENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-568-5486",
            "fax_number": "787-773-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BORGES",
        "first_name": "IVELISSE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "12948",
            "primary": false
        },
        {
            "code": "246ZN0300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Nephrology",
            "state": "PR",
            "license": "12948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "90266RJ",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS INSURANCE",
            "identifier": "90266RS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.