Individual provider Active NPI

Xavier Colon Rivera, M.D.

  • Internal Medicine Physician
  • Moca, PR
National Provider Identifier
1699152140
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19535 Issued in PR
Practice address
Winner's Mall Building, Local E
Calazan Lasalle Street
Moca, PR 00676
Phone
(939) 262-8260
NPI assigned
May 5, 2015
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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 19535 PR Primary

Addresses

Primary practice location

Winner's Mall Building, Local E
Calazan Lasalle Street
Moca, PR 00676

Mailing address

La Alborada
1225 Carr 2 Apto 3431
Bayamon, PR 00959-7301
Phone (939) 262-8260

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
I20190320000103 PR Practitioner - Internal Medicine 2466736459 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Jesus T Pineiro Building
Ave. Fernandez Juncos
Carolina, PR 00979
Phone (787) 621-3322

Jesus T Pineiro Building Ave FNDZ Ju
Carolina, PR 00979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19535PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medical Services, PSC CurrentSince Mar 16, 2019 Accepting new patients
Hospitalist Medical Services, PSC Current Accepting new patients
Hospital San Carlos Incorporado Past Accepting new patients

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.

Hospital & facility affiliations 1

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1699152140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA ALBORADA",
            "address_2": "1225 CARR 2 APTO 3431",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597301",
            "telephone_number": "939-262-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WINNER'S MALL BUILDING, LOCAL E",
            "address_2": "CALAZAN LASALLE STREET",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "939-262-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RIVERA",
        "first_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.