Individual provider Active NPI

Limary Cordero Rivera, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1861980625
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19997 Issued in PR
Practice address
HPM Foundation Inc
2020 Avenida Borinquen
San Juan, PR 00915-3822
Phone
(787) 758-2000
Fax
(787) 771-7699
NPI assigned
Apr 27, 2018
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 19997 PR Primary

Addresses

Primary practice location

HPM Foundation Inc
2020 Avenida Borinquen
San Juan, PR 00915-3822

Mailing address

PO Box 14457
San Juan, PR 00916-4457
Phone (787) 240-0046

Other identifiers 1

IdentifierTypeStateIssuer
039904401MedicaidPR

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
I20210617003098 PR Practitioner - General Practice 3971903519 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HPM Foundation IncGroup PAC ID 3870629579, 17 clinicians

Practice addresses (Care Compare)

2020 Ave Borinquen
San Juan, PR 00915-3822
Phone (787) 268-4171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1861980625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14457",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164457",
            "telephone_number": "787-240-0046",
            "fax_number": "787-919-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HPM FOUNDATION INC",
            "address_2": "2020 AVENIDA BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153822",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO RIVERA",
        "first_name": "LIMARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039904401",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.