Individual provider Active NPI

Jose R. Rivera-Toledo, MD

  • Family Medicine Physician
  • Castaner, PR
National Provider Identifier
1699761817
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12508 Issued in PR
Practice address
Road 135 KM. 64.2
Box 1003
Castaner, PR 00631-1003
Phone
(787) 210-6411
Fax
(787) 829-2913
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12508 PR Primary

Addresses

Primary practice location

Road 135 KM. 64.2
Box 1003
Castaner, PR 00631-1003

Mailing address

Road 135 KM. 64.2
Box 1003
Castaner, PR 00631-1003
Phone (787) 210-6411

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
I20050713001145 PR Practitioner - Family Practice 8921034604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital General de Castaner IncGroup PAC ID 5294794673, 9 clinicians

Practice addresses (Care Compare)

64 2 Carr
Suite 135
Castaner, PR 00631
Phone (787) 829-5010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12508PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital General de Castaner Inc CurrentSince Oct 14, 2013 Accepting new patients
Hospital General de Castaner Inc. Family Medicine CurrentSince Oct 14, 2013 Accepting new patients

Organizations & group practices 4

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1699761817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROAD 135 KM. 64.2",
            "address_2": "BOX 1003",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "006311003",
            "telephone_number": "787-210-6411",
            "fax_number": "787-829-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 135 KM. 64.2",
            "address_2": "BOX 1003",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "006311003",
            "telephone_number": "787-210-6411",
            "fax_number": "787-829-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-TOLEDO",
        "first_name": "JOSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castaner, PR

Sources for this page

Verify at the official NPI Registry.