Active NPI
Salomon Jose David-Rivera, MD
- General Practice Physician
- Santa Isabel, PR
National Provider Identifier
1790867182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12548
- Practice address
- St Ruiz Belvis #3
Santa Isabel, PR 00757 - Phone
- (787) 642-1977
- Fax
- (797) 845-1840
- NPI assigned
- Oct 19, 2006
- Last updated
- May 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12548 | PR | Primary |
Addresses
Primary practice location
St Ruiz Belvis #3
Santa Isabel, PR 00757
Mailing address
St Zafino #2118 Veb Lago Horizonto
Coto Laurel, PR 00780
Phone (787) 642-1977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300034 | Other | PR | MMM |
| 2365 | Other | PR | PMC |
Other names 1
- Mr. Salomon Jose David-Rivera
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000513 | PR | Practitioner - General Practice | 1355235797 | Practice locations: Santa Isabel, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1790867182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST ZAFINO #2118 VEB LAGO HORIZONTO",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "00780",
"telephone_number": "787-642-1977",
"fax_number": "797-845-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST RUIZ BELVIS #3",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "787-642-1977",
"fax_number": "797-845-1840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID-RIVERA",
"first_name": "SALOMON",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "300034",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "2365",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SALOMON",
"last_name": "DAVID-RIVERA",
"middle_name": "JOSE",
"prefix": "MR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.