Individual provider Active NPI

Nayib J Rivera Betancourt, MD

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1699445262
Registry record updated Apr 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22548 Issued in PR
Practice address
Bo. Rabanal
Carr. 173 KM 6
Cidra, PR 00739
Phone
(787) 400-1273
NPI assigned
Sep 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22548 PR Primary

Addresses

Primary practice location

Bo. Rabanal
Carr. 173 KM 6
Cidra, PR 00739

Mailing address

Urb. Marbella #17
Calle Palmeras
Salinas, PR 00751
Phone (787) 400-1273

Other names 1

  • Nayib J Rivera Betancourt Professional name

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
I20220420000262 PR Practitioner - General Practice 5698166817

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22548PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico Rabanal LLC General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682726400000",
    "number": "1699445262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. MARBELLA #17",
            "address_2": "CALLE PALMERAS",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "00751",
            "telephone_number": "787-400-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. RABANAL",
            "address_2": "CARR. 173 KM 6",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-400-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BETANCOURT",
        "first_name": "NAYIB",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAYIB",
            "last_name": "RIVERA BETANCOURT",
            "middle_name": "J",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.