Renato Luis Rivera, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16671 Issued in PR

Practice address

168 Calle Guanajibo
Crown Hills
San Juan, PR 00926-6003

Phone

(787) 763-5624

NPI assigned

Oct 21, 2006

Last updated

Aug 22, 2022By 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

Family Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
• Hospicio Luz de Esperanza Inc Hospice, Manati, PR, CCN 401574
• Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saule Corp

  • Specialist
  • Manati, PR
  • NPI 1114266285
  NPD (past) Authorized official
• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  NPD (past)
• Dorado Health Inc

  dba Manati Medical Center

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1376605170
  NPD (past)

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

• Corporacion Las Vegas, LLC

  • Home Health Agency
  • Manati, PR
  • NPI 1659364248
  Care Compare affiliation
• Doctors Center Hospital Inc

  • General Acute Care Hospital
  • Manati, PR
  • NPI 1861494163
  Care Compare affiliation
• Hospicio Luz de Esperanza Inc.

  • Community Based Hospice Care Agency
  • Manati, PR
  • NPI 1013459379
  Care Compare affiliation

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1760565113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CALLE GUANAJIBO",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266003",
            "telephone_number": "787-763-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CALLE GUANAJIBO",
            "address_2": "CROWN HILLS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266003",
            "telephone_number": "787-763-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RENATO",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16671",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Ivan Rivera, M.D.
• Pedro J Rivera Sr., RN
• Rafael Rivera, M.S.
• Rafael Angel Rivera, M.D.
• Reinilda Rivera, MPH
• Reynaldo Rivera, RRT,MHSA
• Ricardo E Rivera, M.D.
• Rolando Rivera
• Roselyn M Rivera, MSW
• Sally Rivera, RPH

• Family Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.