Individual provider Active NPI

Indira Enid Barbosa Rios, MD

  • Pediatrics Physician
  • Vega Baja, PR
National Provider Identifier
1629624648
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21519 Issued in PR
Practice address
Carretera 2 KM 39.5
Vega Baja, PR 00693
Phone
(787) 858-1580
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21519 PR
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 21519 PR Primary

Addresses

Primary practice location

Carretera 2 KM 39.5
Vega Baja, PR 00693

Mailing address

F18 Calle Reina Victoria
Urb Quintas Reales
Guaynabo, PR 00969
Phone (787) 203-0659

Other practice location 1

F18 Calle Reina Victoria
Urb Quintas Reales
Guaynabo, PR 00969-5291
Phone (787) 203-0659

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
I20200225000543 PR Practitioner - Pediatric MedicinePractitioner - General Practice 1254768641 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21519PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc Single Specialty CurrentSince Dec 1, 2023 Accepting new patients
Instituto Medico del Norte Inc Single Specialty CurrentSince Dec 1, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1629624648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F18 CALLE REINA VICTORIA",
            "address_2": "URB QUINTAS REALES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-203-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 2 KM 39.5",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "F18 Calle Reina Victoria",
            "address_2": "Urb Quintas Reales",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009695291",
            "country_code": "US",
            "telephone_number": "787-203-0659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOSA RIOS",
        "first_name": "INDIRA",
        "middle_name": "ENID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21519",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "21519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.