Individual provider Active NPI

Juan Carlos Rivera-Concepcion, M.D.

  • Obstetrics & Gynecology Physician
  • Cayey, PR
National Provider Identifier
1902800709
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13838 Issued in PR
Practice address
Carr 14 Interior KM 0.3
Centro Medico Menonita, Edificio Profesional Suite 311
Cayey, PR 00736
Phone
(787) 738-9938
Fax
(787) 738-9939
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13838 PR Primary

Addresses

Primary practice location

Carr 14 Interior KM 0.3
Centro Medico Menonita, Edificio Profesional Suite 311
Cayey, PR 00736

Mailing address

PO Box 1775
Cidra, PR 00739-1775
Phone (787) 738-9938

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
I20041005000165 PR Practitioner - Obstetrics/Gynecology 4587623715 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 14 Interior KM
3 Centro Medico Menonita Edificio Profesion
Cayey, PR 00736
Phone (787) 738-9938

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced OB-GYN PSC Obstetrics & Gynecology CurrentSince Dec 31, 2018 Accepting new patients
Advanced Professional OB/GYN, PSC Obstetrics & Gynecology PastSince Mar 19, 2002 Accepting new patients
Hospital Menonita de Cayey Past Accepting new patients

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1902800709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1775",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391775",
            "telephone_number": "787-738-9938",
            "fax_number": "787-738-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 14 INTERIOR KM 0.3",
            "address_2": "CENTRO MEDICO MENONITA, EDIFICIO PROFESIONAL SUITE 311",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-738-9938",
            "fax_number": "787-738-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-CONCEPCION",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.