Active NPI
Raul F Rivera, M.D.
- Internal Medicine Physician
- Arecibo, PR
National Provider Identifier
1679672356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12009
- Practice address
- #57 Barbosa St.
Arecibo, PR 00612 - Phone
- (787) 817-1818
- Fax
- (787) 817-1835
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12009 | PR | Primary |
Addresses
Primary practice location
#57 Barbosa St.
Arecibo, PR 00612
Mailing address
PO Box 143572
Arecibo, PR 00614-3572
Phone (787) 817-1818
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060551 | Other | PR | LA CRUZ AZUL |
| 100163 | Other | PR | MEDICARE MUCHO MAS( MMM) |
| 1513 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 0088462 | Medicaid | PR | |
| 1583 | Other | PR | PREFERRED MEDICARE CHOICE |
| 88462 | Other | PR | TRIPLE-S INC. |
| 528210744 | Other | PR | COSVI |
| 6140007 | Other | PR | HUMANA P.R. |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031120000005 | PR | Practitioner - Internal Medicine | 1456255793 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
57 Ave Barbosa
Arecibo, PR 00612-4329
Phone (787) 817-1818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Susoni Health Community Services Corp | Past | 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1972531218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1679672356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 143572",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006143572",
"telephone_number": "787-817-1818",
"fax_number": "787-817-1835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#57 BARBOSA ST.",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-817-1818",
"fax_number": "787-817-1835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "RAUL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL",
"identifier": "060551",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MUCHO MAS( MMM)",
"identifier": "100163",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "1513",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088462",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "1583",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S INC.",
"identifier": "88462",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COSVI",
"identifier": "528210744",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA P.R.",
"identifier": "6140007",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.