Individual provider Active NPI

Ricardo Rene Rivera Fernandez, M.D.

  • Diagnostic Radiology Physician
  • Fajardo, PR
National Provider Identifier
1609152701
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18880 Issued in PR
Practice address
316 Ave General Valero
Fajardo, PR 00738-4848
Phone
(787) 860-3400
NPI assigned
Nov 2, 2011
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 18880 PR Primary
Diagnostic Radiology Physician 2085R0202X 104501 GA

Addresses

Primary practice location

316 Ave General Valero
Fajardo, PR 00738-4848

Mailing address

PO Box 490
Puerto Real, PR 00740-0490
Phone (787) 860-3400

Other practice location 1

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 819-5155

Other practice location 2

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-8420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, VI, FL, GA, SC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210817001101 PR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2567867344 Reassigns benefits to 15 organizations
I20231130002748 VI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 2567867344 Reassigns benefits to 1 organization
I20250729004987 FL Practitioner - Diagnostic Radiology 2567867344 Reassigns benefits to 3 organizations
I20251027002896 GA Practitioner - Diagnostic Radiology 2567867344 Reassigns benefits to 1 organization
I20260227000073 SC Practitioner - Diagnostic Radiology 2567867344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Timberridge Imaging CenterGroup PAC ID 9436049863, 49 clinicians
East Cooper Physician Group LLCGroup PAC ID 1254775687, shared by 2 NPIs, 126 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Practice addresses (Care Compare)

San Juan, PR 00926
Phone (352) 419-4818

1818 SW 15TH Ave
Ocala, FL 34471-1248
Phone (787) 671-4557

183 Calle Delbrey
San Juan, PR 00911-2007
Phone (770) 219-9000

238 Calle Jilguero
San Juan, PR 00926-7107
Phone (843) 881-0100

4735 Ave Isla Verde
Carolina, PR 00979-5442
Phone (787) 613-1540

7091 SW 60TH LN
Ocala, FL 34474-1943
Phone (770) 219-2394

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

880 Island Park Dr
Unit 230
Daniel Island, SC 29492-2902
Phone (843) 380-9330

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104501GAMDDiagnostic Radiology Physician
18880PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Imaging Services LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
Radiology Imaging Associates, LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Inverness Medical Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 11, 2025 Accepting new patients
Fajardo Imaging MRI CSP Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Concilio de Salud Integral de Loiza, Inc. Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Timberridge Imaging Center Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 24, 2026 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince May 13, 2025 Accepting new patients
East Cooper Physician Group LLC CurrentSince Jan 24, 2026 Accepting new patients
Fajardo Imaging Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Northeast Georgia Physicians Group Inc General Practice CurrentSince Oct 1, 2025 Accepting new patients
F&M Radiologist, CSP PastSince Jul 1, 2021 Accepting new patients
Medical Imaging Center of Ocala LLP Diagnostic Radiology PastSince Feb 11, 2024 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients

Locations

577 N Williamson Blvd
Daytona Beach, FL 32114

2105 Highway 44 W
Inverness, FL 34453
Phone (352) 419-4818

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1818 SW 15th Ave
Ocala, FL 34471
Phone (352) 671-4200

9521 SW Highway 200
Ocala, FL 34481
Phone (352) 351-7500

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

316 Ave General Valero
Fajardo, PR 00738
Phone (787) 860-3400

B30 Ave a Perez Andino
Rio Grande, PR 00745
Phone (787) 887-5944

183 Calle Delbrey
San Juan, PR 00911
Phone (787) 365-7799

880 Island Park Dr
Unit 230
Daniel Island, SC 29492
Phone (843) 380-9330

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

851 Leonard Fulghum Dr
Ste 101
Mt Pleasant, SC 29464
Phone (843) 884-2133

9048 Sugar Est
St Thomas, VI 00802
Phone (340) 693-6211

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rriverafernandez742978@direct.shands.ufl.edu
  • Direct secure messaging: rriverafernendez297087@direct.tgh.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1609152701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "PUERTO REAL",
            "state": "PR",
            "postal_code": "007400490",
            "telephone_number": "787-860-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 AVE GENERAL VALERO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384848",
            "telephone_number": "787-860-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Health Park Blvd",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865784",
            "country_code": "US",
            "telephone_number": "904-819-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-219-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA FERNANDEZ",
        "first_name": "RICARDO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "18880",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "104501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.