Individual provider Active NPI

Diana V Rodriguez Rivera

  • Dermatology Physician
  • Cayey, PR
National Provider Identifier
1902209612
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22207 Issued in PR
Practice address
174 Calle Luis Barreras S
Cayey, PR 00736-4615
Phone
(939) 336-9019
NPI assigned
Oct 8, 2014
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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 22207 PR Primary

Addresses

Primary practice location

174 Calle Luis Barreras S
Cayey, PR 00736-4615

Mailing address

PO Box 371867
Cayey, PR 00737-1867
Phone (939) 336-9019

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
I20230822003400 PR Practitioner - Dermatology 3274860986 Reassigns benefits to 2 organizations
Practice locations: Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

174 Calle Luis Barreras S
Cayey, PR 00736-4615
Phone (939) 336-9019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions40
Skin biopsy23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22207PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Dermatologico del Plata LLC Dermatology CurrentSince Dec 24, 2023 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jun 8, 2024 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Recinto de Ciencias Medicas Dermatology CurrentSince Jun 8, 2024 Accepting new patients

Locations

174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966

Organizations & group practices 4

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": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1902209612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371867",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371867",
            "telephone_number": "939-336-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 CALLE LUIS BARRERAS S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364615",
            "telephone_number": "939-336-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RIVERA",
        "first_name": "DIANA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "22207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.