Active NPI
Luis A Rivera Rodriguez
- Ophthalmology Physician
- Aguada, PR
National Provider Identifier
1801885249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12911
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000657 | PR | Practitioner - Ophthalmology | 9032288303 | Practice locations: Mayaguez, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iocp Medical Services LLC | Current | Accepting new patients | |
| Clinica Cirugia Ambulatoria Dr. Luis a. Vazquez, Inc | Current | Accepting new patients | |
| Ophthalmic Solutions, P.S.C. | Ophthalmology | Past | 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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Mayaguez, PR
- NPI 1619821907
-
- Ambulatory Surgical Clinic/Center
- Mayaguez, PR
- NPI 1801967815
-
- Hematology & Oncology Physician
- Mayaguez, PR
- NPI 1235730821
-
- Ophthalmology Physician
- Mayaguez, PR
- NPI 1942664305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.