Carlos Gilberto Rivera Bermudez, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4441 Issued in PR

Practice address

313 Ave Domenech
Baldrich
San Juan, PR 00918-3532

Phone

(787) 763-7423

Fax

(787) 763-2039

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Nephrology

Education

University of Puerto Rico School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puerto Rico Vascular Access Center PSCGroup PAC ID 0941500011, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC San Juan Dialysis facility, San Juan, PR, CCN 402501
• Centro Renal Universitario Dialysis facility, San Juan, PR, CCN 402305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Puerto Rico Vascular Access Center PSC

  • Nephrology Physician
  • San Juan, PR
  • NPI 1649659756
  Medicare reassignment Care Compare group NPD
• Renalife, PSC

  • Nephrology Physician
  • San Juan, PR
  • NPI 1083964357
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1700849817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE ALHELI, URB. SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-758-6857",
            "fax_number": "787-764-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 AVE DOMENECH",
            "address_2": "BALDRICH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183532",
            "telephone_number": "787-763-7423",
            "fax_number": "787-763-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BERMUDEZ",
        "first_name": "CARLOS",
        "middle_name": "GILBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estefania Rivera Ayala, DC
• Jose Carlos Rivera Baiges, MD, MSC
• Judith Rivera Batlle
• Sandra Victoria Rivera Beltran
• Victor Francisco Rivera Beltran Sr., MD
• Raul Jose Rivera Berrios, PHARMD
• Anthony Francisco Rivera Betancourt Sr.
• Marisol Rivera Bilbraut, M.D.
• Nicole Rivera Bobe, MD
• Cedric Rivera Bolomey, M.D.

• Nephrology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.

Verify at the official NPI Registry.