Active NPI
Ruben Rivera-Carrion, M.D.
- Psychiatry Physician
- Ponce, PR
National Provider Identifier
1720010960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 7544
- Practice address
- 3006 Ave Emilio Fagot
Suite # 2
Ponce, PR 00716-3612 - Phone
- (787) 841-3954
- Fax
- (787) 844-0820
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7544 | PR | Primary |
Addresses
Primary practice location
3006 Ave Emilio Fagot
Suite # 2
Ponce, PR 00716-3612
Mailing address
3006 Ave Emilio Fagot
Suite # 2
Ponce, PR 00716-3612
Phone (787) 841-3954
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067718 | Other | PR | BLUE SHIELD/BLUE CROSS-PR |
| 27526 | Other | PR | TRIPLE SSS PROVIDER NUMBE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170406001654 | PR | Practitioner - Psychiatry | 0244516219 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3006 Ave Emilio Fagot
Ponce, PR 00716-3612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7544 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720010960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 AVE EMILIO FAGOT",
"address_2": "SUITE # 2",
"city": "PONCE",
"state": "PR",
"postal_code": "007163612",
"telephone_number": "787-841-3954",
"fax_number": "787-844-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 AVE EMILIO FAGOT",
"address_2": "SUITE # 2",
"city": "PONCE",
"state": "PR",
"postal_code": "007163612",
"telephone_number": "787-841-3954",
"fax_number": "787-844-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-CARRION",
"first_name": "RUBEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "7544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD/BLUE CROSS-PR",
"identifier": "067718",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE SSS PROVIDER NUMBE",
"identifier": "27526",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Aaron Xavier Rivera-Bracero
- Ileana Ivette Rivera-Burgos, MD
- Carlos M Rivera-Caban, M.D.
- Maira Ivette Rivera-Cales, M.T.
- Sheila Odette Rivera-Cales, PH.D.
- Miriam Esther Rivera-Feliciano
- Erick Manuel Rivera-Grana, MD
- Alejandra Rivera-Irizarry
- Merangely Nicole Rivera-Lopez
- Josue Gerardo Rivera-Morales, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.