Active NPI
Ivelisse Rivera Borges, MD
- Nephrology Specialist/Technologist
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Specialist/Technologist
- License
- 12948
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90266RJ | Other | PR | SSS |
| 90266RS | Other | SSS 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University Central del Caribe Escuela de Medicina, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | 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.
-
- Specialist
- San Juan, PR
- NPI 1487947214
-
- Rehabilitation Clinic/Center
- San Juan, PR
- NPI 1992369615
-
- Nephrology Physician
- Manati, PR
- NPI 1548314719
-
- Medical Specialty Clinic/Center
- Manati, PR
- NPI 1588048482
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
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
- Raul Jose Rivera Berrios, PHARMD
- Anthony Francisco Rivera Betancourt Sr.
- Marisol Rivera Bilbraut, M.D.
- Nicole Rivera Bobe, MD
- Cedric Rivera Bolomey, M.D.
- Annabelle Rivera Buscaglia, M.D., D.C.
- Melinnette Rivera Cabrera, DC
- Paula Alexandra Rivera Carrasquillo
- Yalimar Rivera Castillo
- Alexandra Marie Rivera Castro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.