Organization Active NPI

Rivera Medical System LLC.

  • Land Ambulance
  • Guayama, PR
National Provider Identifier
1902681158
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RIVERA MEDICAL SYSTEM LLC.
Practice address
Carr 3 KM 135.9 Local 4
Legion Americana Bo Algarrobo
Guayama, PR 00785
Phone
(787) 420-8666
NPI assigned
Aug 28, 2023
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Gabriel Rivera Cabrera
Title
President
Phone
(787) 420-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Carr 3 KM 135.9 Local 4
Legion Americana Bo Algarrobo
Guayama, PR 00785

Mailing address

PO Box 183
Guayama, PR 00785
Phone (787) 420-8666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318000946 PR Part B Supplier - Ambulance Service Supplier 2163869876 Practice locations: Guayama, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1902681158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-420-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 135.9 LOCAL 4",
            "address_2": "LEGION AMERICANA BO ALGARROBO",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-420-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA MEDICAL SYSTEM LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-05-09",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA CABRERA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-420-8666"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.