Marvin Matta Rivera, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

19307 Issued in PR

Practice address

Urb. Bairoa, Calle Santa Maria L 6
Caguas, PR 00725

Phone

(787) 240-3438

NPI assigned

Aug 11, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Marvin Matta Rivera Professional name

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

Specialty

Hematology/OncologyAlso: Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PR Cancer Specialists LLCGroup PAC ID 9739544750, 2 clinicians

Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marvin.mattarivera@3937.securemail.prognocis.com

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.

• PR Cancer Specialists LLC

  • Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1952016008
  Medicare reassignment Care Compare group NPD
• Pro-Health Clinical Services LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bayamon, PR
  • NPI 1881003382
  Medicare reassignment Care Compare group NPD
• Instituto de Hematologia Y Oncologia Medico del Norte P.S.C.

  • Hematology & Oncology Physician
  • Manati, PR
  • NPI 1033251780
  Medicare reassignment NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1629357488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BAIROA, CALLE SANTA MARIA L 6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-240-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BAIROA, CALLE SANTA MARIA L 6",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-240-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ave Laurel",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009564816",
            "country_code": "US",
            "telephone_number": "787-787-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTA RIVERA",
        "first_name": "MARVIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "19307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARVIN",
            "last_name": "MATTA RIVERA",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Liza Lumarie Matos-Lago, M.D.
• Alice Matos
• Luz Risex Mangual Matos, SLT
• Willie R Matos, M.D.
• Jorge R Matta Gonzalez, MD
• Olga Waleska Mattei Reyes, MS PHL
• Natalia Maverakis Ramirez, MPH
• Wanda E Maymi-Burgos, MD
• Carlos Alberto Maymi, PHARMACY TECHNICIAN
• MB Clinical Laboratories East Corp.

• Hematology & Oncology Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.

Verify at the official NPI Registry.