Individual provider Active NPI

Maribel Campos Rivera, MD

  • Integrative Medicine Physician
  • San Juan, PR
National Provider Identifier
1669496873
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
13254 Issued in PR
Practice address
105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927
Phone
(939) 237-4793
Fax
(866) 379-9205
NPI assigned
Jul 27, 2006
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 13254-829 PR
Specialist 174400000X 13254 PR
Pediatrics Physician 208000000X 13254 PR
Neonatal-Perinatal Medicine Physician 2080N0001X 13254 PR
Integrative Medicine Physician 202D00000X 13254 PR Primary
Health & Wellness Coach 171400000X 13254 PR
Pediatric Obesity Medicine Physician 2080B0002X 13254 PR

Addresses

Primary practice location

105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927

Mailing address

PO Box 70344
PMB #65
San Juan, PR 00936-8344
Phone (787) 436-8857

Other practice location 1

Office A141A First Floor Guillermo Arbona Building
University Of Puerto Rico Medical Sciences Campus
San Juan, PR 00935-0001
Phone (787) 758-2525 ext. 1139

Other practice location 2

PRCCI 105 Rd 21 Km 0.8 Monacillo Ward
First Floor Innovation Building
San Juan, PR 00927
Phone (787) 523-5876

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address resultados@emergemos.org Direct EMERGE PBC

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
I20260615004144 PR Practitioner - General PracticePractitioner - Pediatric MedicinePractitioner - Preventive Medicine 3678043262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine, Preventive Medicine
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 Rd 21 KM 0
First Floor Forward Center (Former Oso BL
San Juan, PR 00927

PO Box
Suite 70344
San Juan, PR 00936-8344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13254-829PRMDAcupuncturist
13254PRMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge PBC Obesity Medicine CurrentSince Dec 21, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1669496873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB #65",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-436-8857",
            "fax_number": "866-379-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROAD 21 KM 0.8 MONACILLO WARD",
            "address_2": "FIRST FLOOR FORWARD CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "939-237-4793",
            "fax_number": "866-379-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Office A141A First Floor Guillermo Arbona Building",
            "address_2": "University Of Puerto Rico Medical Sciences Campus",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-758-2525 x1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PRCCI 105 Rd 21 Km 0.8 Monacillo Ward",
            "address_2": "First Floor Innovation Building",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-523-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS RIVERA",
        "first_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "13254-829",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "13254",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13254",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PR",
            "license": "13254",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "PR",
            "license": "13254",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "PR",
            "license": "13254",
            "primary": false
        },
        {
            "code": "2080B0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Obesity Medicine",
            "state": "PR",
            "license": "13254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "resultados@emergemos.org",
            "affiliation": "Y",
            "endpointDescription": "Dedicated Email for HIE at primary organization.",
            "affiliationName": "EMERGE PBC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDR Reports",
            "address_1": "105 Road 21 Km 0.8 Monacillo Ward",
            "address_2": "First Floor Forward Center",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.