Individual provider Active NPI

Karen Ruperto-Rivera, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1861409781
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15501 Issued in PR
Practice address
396 Calle Dr Luis Salas Urb Insdustrial Reparada
Escuela de Medicina de Ponce
Ponce, PR 00732
Phone
(787) 840-2575
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15501 PR Primary

Addresses

Primary practice location

396 Calle Dr Luis Salas Urb Insdustrial Reparada
Escuela de Medicina de Ponce
Ponce, PR 00732

Mailing address

PO Box 7004
Ponce, PR 00732-7004
Phone (787) 840-2575

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
I20050428000236 PR Practitioner - General Practice 0244279347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Departamento de Salud OficialGroup PAC ID 9537170162, 11 clinicians

Practice addresses (Care Compare)

396 Calle Dr Luis F Salas
Urb. Ind. Reparada
Ponce, PR 00716
Phone 78781225255835

4 Calle Dr Defendini
Adjuntas, PR 00601-2218
Phone (787) 829-2040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15501PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation CurrentSince Jul 1, 2015 Accepting new patients
Tiber Health, Public Benefit Corporation General Practice CurrentSince Jul 1, 2015 Accepting new patients
Departamento de Salud Oficial General Practice CurrentSince Oct 29, 2024 Accepting new patients
Departamento de Salud Oficial CurrentSince Oct 29, 2024 Accepting new patients
Departamento de Salud Oficial Current Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients
Professional Integrated Medical Solution,PSC Past Accepting new patients
Ponce Medical School Foundation Inc General Practice Past Accepting new patients
Quality Health Services of Puerto Rico Inc Past Accepting new patients

Locations

4 Calle Dr Defendini
Adjuntas, PR 00601
Phone (787) 829-2040

Organizations & group practices 9

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1861409781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7004",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327004",
            "telephone_number": "787-840-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CALLE DR LUIS SALAS URB INSDUSTRIAL REPARADA",
            "address_2": "ESCUELA DE MEDICINA DE PONCE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-840-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERTO-RIVERA",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.