Individual provider Active NPI

Luis A Rivera Rodriguez

  • Ophthalmology Physician
  • Aguada, PR
National Provider Identifier
1801885249
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12911 Issued in PR
Practice address
Calle Colon
Aguada, PR 00602-3166
Phone
(787) 868-7884
Fax
(787) 252-8316
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12911 PR Primary

Addresses

Primary practice location

Calle Colon
Aguada, PR 00602-3166

Mailing address

PO Box 3241
Mayaguez, PR 00681-3241
Phone (787) 868-7884

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
I20080513000657 PR Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 9032288303 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Edif Mendez Vigo Oeste
Suite 101 Y 201
Mayaguez, PR 00680

Calle Mendez Vigo
Suite 101 Y 201
Mayaguez, PR 00680
Phone (787) 833-8333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iocp Medical Services LLC CurrentSince Nov 8, 2020 Accepting new patients
Clinica Cirugia Ambulatoria Dr. Luis a. Vazquez, Inc CurrentSince May 30, 2019 Accepting new patients
Ophthalmic Solutions, P.S.C. Ophthalmology PastSince Sep 15, 2016 Accepting new patients
Instituto de Ojos LLC Past Accepting new patients

Locations

101 Calle Mendez Vigo W
Ste 201
Mayaguez, PR 00680
Phone (787) 833-8333

Organizations & group practices 4

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1801885249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3241",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813241",
            "telephone_number": "787-868-7884",
            "fax_number": "787-252-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023166",
            "telephone_number": "787-868-7884",
            "fax_number": "787-252-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "12911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.