Luis Enrique Rivera I, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

12042 Issued in PR

Practice address

65 Infanteria 174
Vieques, PR 00765-1065

Phone

(787) 741-0738

Fax

(787) 741-0738

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811004336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 INFANTRY 174",
            "address_2": "P.O. BOX 1065",
            "city": "VIEQUES",
            "state": "PR",
            "postal_code": "007651065",
            "telephone_number": "787-741-0738",
            "fax_number": "787-741-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INFANTERIA 174",
            "city": "VIEQUES",
            "state": "PR",
            "postal_code": "007651065",
            "telephone_number": "787-741-0738",
            "fax_number": "787-741-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PR",
            "license": "12042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "1-12042",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "31-12042",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "400184",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "060670",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, INC.",
            "identifier": "87944RI",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "3264-I",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA DE PR",
            "identifier": "765008",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "2011030",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiara Dalisse Mercado Neris, MS-SLP
• Eusebio Mercedes de Pea, M.D.
• Municipio de Vieques
• Josymar Olivieri, BSN
• Pharmacare, Inc.
• Ruth Rosa Corcino, RN
• Salud En El Hogar del Caribe, Inc.
• San Juan Vamc
• Servicios Medicos Integrados de Fajardo, P.S.C.
• Daphne Torres, DDS

• Legal Medicine in Vieques, PR
• Providers in Vieques, PR by specialty
• Legal Medicine in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.