Individual provider Active NPI

Angel Edgardo Rivera Negron Sr., M.D.

  • Family Medicine Physician
  • Barceloneta, PR
National Provider Identifier
1902825334
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13933 Issued in PR
Practice address
Carr # 140
Barceloneta, PR 00617
Phone
(787) 317-5346
Fax
(787) 846-5962
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13933 PR Primary

Addresses

Primary practice location

Carr # 140
Barceloneta, PR 00617

Mailing address

PO Box 1745
Barceloneta, PR 00617-1745
Phone (787) 317-5346

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
I20050526001041 PR Practitioner - Family Practice 0648212803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 Carr
Suite 140
Barceloneta, PR 00617-2806
Phone (787) 846-5094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13933PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Especializada Dr. Angel E. Rivera Negron, Inc. CurrentSince Jul 13, 2012 Accepting new patients
Centro Sonografico Especializado de Barceloneta L.L.C. Past Accepting new patients

Locations

13 Carr 140
Barceloneta, PR 00617
Phone (787) 846-5094

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1902825334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1745",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006171745",
            "telephone_number": "787-317-5346",
            "fax_number": "787-846-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 140",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-317-5346",
            "fax_number": "787-846-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA NEGRON",
        "first_name": "ANGEL",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.