Individual provider Active NPI

Luis Adrian Rivera-Pomales, M.D.

  • Internal Medicine Physician
  • Guayama, PR
National Provider Identifier
1649207028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8309 Issued in PR
Practice address
Calle Ashford #62 Norte
Guayama, PR 00784
Phone
(787) 864-6570
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8309 PR Primary

Addresses

Primary practice location

Calle Ashford #62 Norte
Guayama, PR 00784

Mailing address

PO Box 1059
Arroyo, PR 00714-1059
Phone (787) 864-6570

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
I20040422000318 PR Practitioner - Internal Medicine 5799771069 Reassigns benefits to 2 organizations
Practice locations: Guayama, PR; Patillas, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42 Calle Santiago Iglesias
Patillas, PR 00723-2602
Phone (787) 839-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8309PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Adrian Rivera Pomales, MD, Mba, MPH, CCD, Dabbm, CSP Internal Medicine CurrentSince Jul 5, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 22, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 22, 2019 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

62 Calle Ashford N
Guayama, PR 00784
Phone (787) 864-6570

42 Calle Santiago Iglesias
Patillas, PR 00723
Phone (787) 510-2211

Interoperability endpoints

  • Direct secure messaging: luis.riverapomales.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649207028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007141059",
            "telephone_number": "787-864-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ASHFORD #62 NORTE",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-POMALES",
        "first_name": "LUIS",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "8309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.