Individual provider Active NPI

Eduardo L Gonzalez Rivera Sr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Tampa, FL
National Provider Identifier
1932106176
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME 121448 Issued in FL
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

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000538 PR Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0244306785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Acquisition I, LLCGroup PAC ID 4880047588, 7 clinicians
Hospitalist Medical Services PSCGroup PAC ID 3476833401, 18 clinicians

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

LicenseStateTypeSpecialty
ME 121448FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GRH Anesthesia Group, PSC Pain Medicine CurrentSince Sep 11, 2020 Accepting new patients
Hospitalist Medical Services, PSC Current Accepting new patients
Hospitalist Medical Services, PSC CurrentSince Aug 18, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.