Ildefonso Rivera Rivera, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

6051 Issued in PR

Practice address

Urb Santa Cruz #68
Suite 506 Torre San Pablo
Bayamon, PR 00959

Phone

(787) 786-4913

Fax

(787) 269-5575

NPI assigned

Dec 2, 2005

Last updated

Aug 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Am Acquisition I, LLC

  dba Hospital Auxilio Mutuo San Pablo

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1740264712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3018",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603018",
            "telephone_number": "787-787-0210",
            "fax_number": "787-269-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA CRUZ #68",
            "address_2": "SUITE 506 TORRE SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-786-4913",
            "fax_number": "787-269-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "ILDEFONSO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "6051",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Ines Rivera Perez, DMD
• Valerie Rivera Perez
• Cesar Rafael Rivera Reveron, M.D.
• Almi Rivera Rivera, MD
• Enrique J Rivera Rivera, M.D.
• Mireily Rivera Rosado, MD
• Moraima Rivera Rosado, BS
• Kiara Aleysha Rivera Rosario
• Nanelit Rivera Rosario
• Jonathan A Rivera Ruiz, M.S.

• Cardiovascular Disease Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; 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.