Individual provider Active NPI

Carlos M Rivera-Caban, M.D.

  • Vascular Surgery Physician
  • Ponce, PR
National Provider Identifier
1821233735
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
23707 Issued in PR
Practice address
909 Ave Tito Castro Ste 602
Torre Medica San Lucas
Ponce, PR 00716-4721
Phone
(787) 651-1429
Fax
(787) 651-1430
NPI assigned
Dec 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME132528 FL
Vascular Surgery Physician 2086S0129X 23707 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

909 Ave Tito Castro Ste 602
Torre Medica San Lucas
Ponce, PR 00716-4721

Mailing address

909 Ave Tito Castro Ste 602
Torre Medica San Lucas
Ponce, PR 00716-4721
Phone (787) 651-1429

Other practice location 1

11373 Cortez Blvd Ste 208
Brooksville, FL 34613-5405
Phone (352) 597-0224

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
I20251008004471 PR Practitioner - Vascular Surgery 9436405263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

604 Calle Felipe Segundo
Urb Mansion Real
Ponce, PR 00780

A9 Calle Everest
Alturas de Jacaranda
Ponce, PR 00716

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
78.21
Promoting interoperability
100
Improvement activities
40
Cost
77.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132528FLMDVascular Surgery Physician
23707PRMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Vascular Services PC Vascular Surgery CurrentSince Jul 25, 2025 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

909 Ave Tito Castro
Ste 602
Ponce, PR 00716
Phone (787) 651-1429

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1821233735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 602",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164721",
            "telephone_number": "787-651-1429",
            "fax_number": "787-651-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 602",
            "address_2": "TORRE MEDICA SAN LUCAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164721",
            "telephone_number": "787-651-1429",
            "fax_number": "787-651-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11373 Cortez Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135405",
            "country_code": "US",
            "telephone_number": "352-597-0224",
            "fax_number": "352-597-0252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-CABAN",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME132528",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PR",
            "license": "23707",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.