Individual provider Active NPI

Manuel A Rivero Iturregui, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1861477580
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
11419 Issued in PR
Practice address
1760 Calle Loiza
Suite 203
San Juan, PR 00911-1801
Phone
(787) 726-5486
Fax
(787) 728-6031
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 11419 PR Primary

Addresses

Primary practice location

1760 Calle Loiza
Suite 203
San Juan, PR 00911-1801

Mailing address

1760 Calle Loiza
Suite 203
San Juan, PR 00911-1801
Phone (787) 726-5486

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
I20041214000869 PR Practitioner - PathologyPractitioner - Other (Physician) 8729043500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as group
Quality
64.96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Pathology Associates P Anatomic Pathology & Clinical Pathology CurrentSince Apr 20, 2018 Accepting new patients
University Pathology Associates, PCS PastSince Apr 30, 2003 Accepting new patients
University Pathologists, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

198 Calle Trinidad
Ste 102
San Juan, PR 00917

Organizations & group practices 3

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1861477580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CALLE LOIZA",
            "address_2": "SUITE 203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111801",
            "telephone_number": "787-726-5486",
            "fax_number": "787-728-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CALLE LOIZA",
            "address_2": "SUITE 203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111801",
            "telephone_number": "787-726-5486",
            "fax_number": "787-728-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO ITURREGUI",
        "first_name": "MANUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "11419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.