Individual provider Active NPI

Nery D. Rivera, MD

  • General Practice Physician
  • Aguas Buenas, PR
National Provider Identifier
1922652957
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21493 Issued in PR
Practice address
5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102
Phone
(787) 732-8595
NPI assigned
Jul 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21493 PR Primary

Addresses

Primary practice location

5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102

Mailing address

PO Box 243
Aguas Buenas, PR 00703-0243
Phone (939) 251-4210

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
I20191024001624 PR Practitioner - General Practice 4082946017 Reassigns benefits to 2 organizations
Practice locations: Aguas Buenas, PR; Carolina, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Calle Albizu Campos
Aguas Buenas, PR 00703-3102
Phone (787) 732-8595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21493PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RT Medical Services LLC General Practice CurrentSince May 14, 2025 Accepting new patients
Gemipsc CurrentSince Mar 1, 2023 Accepting new patients
Centro de Vacunacion Sab PastSince Aug 6, 2019 Accepting new patients

Locations

1 Calle Albizu Campos
Aguas Buenas, PR 00703
Phone (787) 732-8595

B41 Calle Elliot Velez
Manati, PR 00674
Phone (787) 621-4364

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1922652957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007030243",
            "telephone_number": "939-251-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE ALBIZU CAMPOS",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033102",
            "telephone_number": "787-732-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NERY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

Verify at the official NPI Registry.