Individual provider Active NPI

Anibal Rivera Fernandez, MD

  • Dermatology Physician
  • Bayamon, PR
National Provider Identifier
1891767851
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4476 Issued in PR
Practice address
Suite 206 Carr #2 KM 11 9
Medical Ophthalmic Plaza
Bayamon, PR 00960-2838
Phone
(787) 787-2711
Fax
(787) 787-3434
NPI assigned
Feb 3, 2006
Last updated
May 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4476 PR Primary

Addresses

Primary practice location

Suite 206 Carr #2 KM 11 9
Medical Ophthalmic Plaza
Bayamon, PR 00960-2838

Mailing address

PO Box 2838
Medical Ophthalmic Plaza Suite 206 Carr #2 KM 11 9
Bayamon, PR 00960-2838
Phone (787) 787-2711

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
I20120521000448 PR Practitioner - Dermatology 5799948204 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medical Ophtalmic Plaza Rd 2 KM
9 Suite 206
Bayamon, PR 00959-7217
Phone (787) 787-2711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Removal or shaving of skin growth1-10
Skin biopsy234

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1891767851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2838",
            "address_2": "MEDICAL OPHTHALMIC PLAZA SUITE 206 CARR #2 KM 11 9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602838",
            "telephone_number": "787-787-2711",
            "fax_number": "787-787-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 206 CARR #2 KM 11 9",
            "address_2": "MEDICAL OPHTHALMIC PLAZA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602838",
            "telephone_number": "787-787-2711",
            "fax_number": "787-787-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA FERNANDEZ",
        "first_name": "ANIBAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "4476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.