Individual provider Active NPI

Julio A. Peguero Rivera, M.D.

  • Surgical Critical Care Physician
  • Santa Isabel, PR
National Provider Identifier
1619969698
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
8276 Issued in PR
Practice address
25 Calle Betances
Santa Isabel, PR 00757-2618
Phone
(787) 845-2190
Fax
(787) 845-2254
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 8276 PR Primary

Addresses

Primary practice location

25 Calle Betances
Santa Isabel, PR 00757-2618

Mailing address

PO Box 517
Santa Isabel, PR 00757-0517
Phone (787) 845-2190

Other names 1

  • Dr. Julio A. Peguero Rivera Professional name

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
I20151120001140 PR Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8426358599 Reassigns benefits to 1 organization
Practice locations: Santa Isabel, PR

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Care Physicians of Puerto Rico LLCGroup PAC ID 9133424336, 4 clinicians

Practice addresses (Care Compare)

Parque Industrial Amuelas
Carr 584 531 Suite 105
Juana Diaz, PR 00795-2871
Phone (787) 260-6670

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022
  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8276PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Care Physicians of Puerto Rico LLC CurrentSince Jan 18, 2016 Accepting new patients
Hospital Damas Inc Past Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients
Dres. Peguero E Iguina Past Accepting new patients

Locations

531 Carr 584
Ste 105
Juana Diaz, PR 00795

Interoperability endpoints

  • Direct secure messaging: julio.peguero.p67@direct.aac.nextgenshare.com

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 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1619969698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570517",
            "telephone_number": "787-845-2190",
            "fax_number": "787-845-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CALLE BETANCES",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572618",
            "telephone_number": "787-845-2190",
            "fax_number": "787-845-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUERO RIVERA",
        "first_name": "JULIO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "PR",
            "license": "8276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "PEGUERO RIVERA",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.