Individual provider Active NPI

Ileana Maria Rivera Ramos, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1720662265
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22434 Issued in PR
Practice address
Urb.Chalets de Bairoa, 101 Calle Colibri
Caguas, PR 00725-1273
Phone
(787) 225-3666
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 22434 PR Primary

Addresses

Primary practice location

Urb.Chalets de Bairoa, 101 Calle Colibri
Caguas, PR 00725-1273

Mailing address

Urb.Chalets de Bairoa, 101 Calle Colibri
Caguas, PR 00725-1273
Phone (787) 225-3666

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
I20210927001428 PR Practitioner - General Practice 0143627646 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Aug 21, 2021 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Aug 21, 2021 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 2

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1720662265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB.CHALETS DE BAIROA, 101 CALLE COLIBRI",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251273",
            "telephone_number": "787-225-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB.CHALETS DE BAIROA, 101 CALLE COLIBRI",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251273",
            "telephone_number": "787-225-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RAMOS",
        "first_name": "ILEANA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.