Individual provider Active NPI

Anibal Miguel Marin-Rivera, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1760133201
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22603 Issued in PR
Practice address
Urb Rio Hondo 2 Calle Rio Jajome Ak-16
Bayamon, PR 00691
Phone
(787) 397-3222
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 22603 PR Primary

Addresses

Primary practice location

Urb Rio Hondo 2 Calle Rio Jajome Ak-16
Bayamon, PR 00691

Mailing address

PO Box 6666
Mayaguez, PR 00681-6666
Phone (787) 397-3222

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
I20220408001549 PR Practitioner - General Practice 6204222755 Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22603PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Emergency Medical Services LLC CurrentSince May 13, 2023 Accepting new patients

Organizations & group practices 1

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1760133201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6666",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816666",
            "telephone_number": "787-397-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB RIO HONDO 2 CALLE RIO JAJOME AK-16",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00691",
            "telephone_number": "787-397-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN-RIVERA",
        "first_name": "ANIBAL",
        "middle_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.