Individual provider Active NPI

Samuel Guillermo Castro-Rivera, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1780646786
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16024 Issued in PR
Practice address
34-1 Calle 43
Urb.Miraflores
Bayamon, PR 00957-3815
Phone
(787) 797-5365
NPI assigned
Apr 5, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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 16024 PR Primary

Addresses

Primary practice location

34-1 Calle 43
Urb.Miraflores
Bayamon, PR 00957-3815

Mailing address

Azucena Box 26 Ojo de Agua
Vega Baja, PR 00693
Phone (787) 962-4749

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
I20060302000072 PR Practitioner - General Practice 8921014820 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Calle 43 Bloq
Suite 34
Bayamon, PR 00957
Phone (787) 797-5365

34 -1 Calle
Suite 43
Bayamon, PR 00957

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16024PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1780646786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AZUCENA BOX 26 OJO DE AGUA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-962-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-1 CALLE 43",
            "address_2": "URB.MIRAFLORES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009573815",
            "telephone_number": "787-797-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO-RIVERA",
        "first_name": "SAMUEL",
        "middle_name": "GUILLERMO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.