Individual provider Active NPI

Luis Antonio Rivera Natali, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1760444947
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15938 Issued in PR
Practice address
117 Calle Estacion
Esquina Virginia
Mayaguez, PR 00680-3839
Phone
(787) 832-8444
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 15938 PR Primary

Addresses

Primary practice location

117 Calle Estacion
Esquina Virginia
Mayaguez, PR 00680-3839

Mailing address

I - 4 Calle Julia de Burgos
Urbanizacion Borinquen
Cabo Rojo, PR 00623-3351
Phone (787) 374-1515

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
I20050914000629 PR Practitioner - General PracticePractitioner - Addiction Medicine 5698708279 Reassigns benefits to 1 organization
Practice locations: Cabo Rojo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15938PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. CurrentSince May 1, 2005 Accepting new patients
Clinica Yaguez, Inc CurrentSince May 1, 2005 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760444947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "I - 4 CALLE JULIA DE BURGOS",
            "address_2": "URBANIZACION BORINQUEN",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233351",
            "telephone_number": "787-374-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CALLE ESTACION",
            "address_2": "ESQUINA VIRGINIA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803839",
            "telephone_number": "787-832-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NATALI",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.