Active NPI
Eduardo L Gonzalez Rivera Sr., MD
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME 121448
- Practice address
- 3010 E 138TH Ave
#100
Tampa, FL 33613-3904 - Phone
- (813) 569-0794
- Fax
- (813) 333-7358
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 5608 | PR | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME 121448 | FL | Primary |
Addresses
Primary practice location
3010 E 138TH Ave
#100
Tampa, FL 33613-3904
Mailing address
405 JB Rodriguez
1703-1 Mirador del Parque
San Juan, PR 00918
Phone (787) 380-6992
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 624-4762
Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone 78785433221191
PO Box
Suite 30532
Manati, PR 00674-8513
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 121448 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GRH Anesthesia Group, PSC | Pain Medicine | Current | Accepting new patients |
| Hospitalist Medical Services, PSC | Current | Accepting new patients | |
| Hospitalist Medical Services, PSC | Current | Accepting new patients | |
| South Cntral Anesthesia CSP | Pain Medicine | Past | Accepting new patients |
Locations
735 Ave Ponce de Leon
Ste 704
San Juan, PR 00917
Phone (787) 379-6786
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Manati, PR
- NPI 1841797743
-
dba Grupo Multiespecialistas Auxilio San Pablo
- Specialist
- Bayamon, PR
- NPI 1871320861
-
- Pain Medicine (Anesthesiology) Physician
- San Juan, PR
- NPI 1770527632
-
- Emergency Medical Services (Emergency Medicine) Physician
- Manati, PR
- NPI 1356639546
-
- Pain Medicine (Anesthesiology) Physician
- Guayama, PR
- NPI 1417900549
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1912992553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1932106176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 JB RODRIGUEZ",
"address_2": "1703-1 MIRADOR DEL PARQUE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-380-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 E 138TH AVE",
"address_2": "#100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133904",
"telephone_number": "813-569-0794",
"fax_number": "813-333-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ RIVERA",
"first_name": "EDUARDO",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "PR",
"license": "5608",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME 121448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.