Individual provider Active NPI

Humberto Rivera Paz, M.D.

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1700976495
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15013 Issued in PR
Practice address
Carr. 115 KM. 24.5
Barrio Asomante
Aguada, PR 00602-0060
Phone
(787) 589-7400
Fax
(787) 589-7402
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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 15013 PR Primary

Addresses

Primary practice location

Carr. 115 KM. 24.5
Barrio Asomante
Aguada, PR 00602-0060

Mailing address

128 Calle Comprension Paraiso de Mayaguez
Mayaguez, PR 00680
Phone (787) 223-9062

Other practice location 1

Policlinica Bella Vista
Edificio Hostos Oficina 206
Mayaguez, PR 00680
Phone (787) 805-6222

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
I20051025000924 PR Practitioner - General Practice 1557388972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Migrant Health Center Western Region,IncGroup PAC ID 4183520810, 47 clinicians

Practice addresses (Care Compare)

Calle San Rafael Numero
222 La Salud
Mayaguez, PR 00680-4676
Phone (787) 834-7255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Bella Vista Hospital Inc CurrentSince Oct 1, 2020 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 14, 2021 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 14, 2021 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Oct 1, 2020 Accepting new patients
Instituto de Cancer del Oeste LLC PastSince Jun 1, 2016 Accepting new patients
Prime Oncology Service, LLC Past Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients
Aguada Medical Center Care Club PastSince Nov 9, 2019 Accepting new patients

Organizations & group practices 9

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1700976495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CALLE COMPRENSION PARAISO DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-223-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 115 KM. 24.5",
            "address_2": "BARRIO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020060",
            "telephone_number": "787-589-7400",
            "fax_number": "787-589-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Policlinica Bella Vista",
            "address_2": "Edificio Hostos Oficina 206",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-805-6222",
            "fax_number": "787-805-6295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA PAZ",
        "first_name": "HUMBERTO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.