Gerardo Rivera-Pabon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12003 Issued in PR

Practice address

Calle Union
Num 109
Ponce, PR 00731

Phone

(787) 840-4898

Fax

(787) 840-4898

NPI assigned

Aug 19, 2006

Last updated

Sep 24, 2012By the provider in NPPES

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 identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1649385030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSIONES DEL SUR",
            "address_2": "46 CALLE VIGIA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802084",
            "telephone_number": "787-840-4898",
            "fax_number": "787-840-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE UNION",
            "address_2": "NUM 109",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-840-4898",
            "fax_number": "787-840-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-PABON",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12003",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erick Manuel Rivera-Grana, MD
• Alejandra Rivera-Irizarry
• Merangely Nicole Rivera-Lopez
• Josue Gerardo Rivera-Morales, M.D.
• Marisabel Rivera-Negron, PHARMD
• Francisco J Rivera-Pedrogo, MD
• Carlos E Rivera-Perez, MD
• Jhomarie Rivera-Perez, MD
• Jose Luis Rivera-Pietri, MD
• Alejandra Rivera-Rodriguez

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.