Individual provider Active NPI

Wilfredo R Rivera Esquerdo, DPM

  • Podiatrist
  • Fajardo, PR
National Provider Identifier
1912070384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
31 Issued in PR
Practice address
Torre San Pablo del Este Suite 204
Hospital Hima San Pablo del Este
Fajardo, PR 00738
Phone
(787) 655-4023
Fax
(787) 655-4024
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 31 PR Primary

Addresses

Primary practice location

Torre San Pablo del Este Suite 204
Hospital Hima San Pablo del Este
Fajardo, PR 00738

Mailing address

PO Box 70005
PMB 293
Fajardo, PR 00738
Phone (787) 655-4023

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000972 PR Practitioner - Podiatry 5991984411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Torre Medica Hima San Pablo
Suite 204
Fajardo, PR 00738-3949
Phone (787) 655-0952

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue819
Removal or shaving of skin growth189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Podiatrico Dr. Rivera Esquerdo PSC Podiatrist CurrentSince Nov 29, 2010 Accepting new patients

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912070384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70005",
            "address_2": "PMB 293",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-4023",
            "fax_number": "787-655-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO DEL ESTE SUITE 204",
            "address_2": "HOSPITAL HIMA SAN PABLO DEL ESTE",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-4023",
            "fax_number": "787-655-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ESQUERDO",
        "first_name": "WILFREDO",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PR",
            "license": "31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.