Individual provider Active NPI

Evelyn M Fonseca Rivera, M.D.

  • Hematology & Oncology Physician
  • Caguas, PR
National Provider Identifier
1659398949
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
9601 Issued in PR
Practice address
Hospital Hima Caguas Piso G Avenida Luis Munoz Marin
Caguas, PR 00725
Phone
(787) 744-8686
Fax
(787) 258-1125
NPI assigned
Jul 16, 2006
Last updated
Jun 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 9601 PR Primary

Addresses

Primary practice location

Hospital Hima Caguas Piso G Avenida Luis Munoz Marin
Caguas, PR 00725

Mailing address

PMB 331 S-1
P O Box 4961
Caguas, PR 00726

Other identifiers 9

IdentifierTypeStateIssuer
8000210OtherPRHUMANA
1859OtherPRPREFFERRED MEDICAL CHOICE
9601OtherPRTRIPLE S
9601OtherPRCOSVI
2905OtherPRAMERICAN HEALTH
821378OtherPRMEDICARE Y MUCHO MAS
82480OtherPRPALI
67892OtherPRCRUZ AZUL
8000210OtherPRHUMANA GOLD PLUS

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
I20070517000601 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6002913522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hematology and Oncology of Puerto RicoGroup PAC ID 7911068796, 6 clinicians

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
FL G
Caguas, PR 00725-6184
Phone (787) 744-8686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.03 of 100Reported as group
Quality
40.6
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9601PRMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hematology and Oncology of Puerto Rico Hematology & Oncology CurrentSince May 12, 2018 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Fl G
Caguas, PR 00725

500 Ave Degetau
Ste 515
Caguas, PR 00725

Organizations & group practices 1

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.

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1659398949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 331 S-1",
            "address_2": "P O BOX 4961",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL HIMA CAGUAS PISO G AVENIDA LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-8686",
            "fax_number": "787-258-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA RIVERA",
        "first_name": "EVELYN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "9601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "8000210",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERRED MEDICAL CHOICE",
            "identifier": "1859",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "9601",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI",
            "identifier": "9601",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "2905",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "821378",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALI",
            "identifier": "82480",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "67892",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GOLD PLUS",
            "identifier": "8000210",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.