Individual provider Active NPI

Rafael M Rivera Gonzalez, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1790701704
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5811 Issued in PR
Practice address
Ave de Diego 216 Sein Medical Plaza
Reparto Metropolitano
San Juan, PR 00921
Phone
(787) 751-5587
Fax
(787) 753-4631
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5811 PR Primary
Diagnostic Ultrasound Physician 2085U0001X 5811 PR

Addresses

Primary practice location

Ave de Diego 216 Sein Medical Plaza
Reparto Metropolitano
San Juan, PR 00921

Mailing address

PO Box 5489
Caguas, PR 00726
Phone (787) 751-5587

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
I20041207000105 PR Practitioner - Diagnostic Radiology 0749246221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roberto J Sein and Rafael M Rivera PTRGroup PAC ID 8325125909, 5 clinicians

Practice addresses (Care Compare)

F5 Ave Degetau
Caguas, PR 00725-5839
Phone (787) 746-5181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5811PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto J Sein & Rafael M Rivera PTR Diagnostic Radiology CurrentSince Mar 13, 2013 Accepting new patients

Locations

F5 Ave Degetau
Caguas, PR 00725
Phone (787) 746-5181

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1790701704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5489",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-751-5587",
            "fax_number": "787-753-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DE DIEGO 216 SEIN MEDICAL PLAZA",
            "address_2": "REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-751-5587",
            "fax_number": "787-753-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA GONZALEZ",
        "first_name": "RAFAEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5811",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "5811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.