Individual provider Active NPI

Emanuel Alvarez Rivera, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1962043844
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21559 Issued in PR
Practice address
53 Ave Barbosa
Arecibo, PR 00612-4329
Phone
(787) 201-3113
Fax
(787) 815-7953
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 21559 PR Primary

Addresses

Primary practice location

53 Ave Barbosa
Arecibo, PR 00612-4329

Mailing address

PO Box 3252
Arecibo, PR 00613-3252
Phone (787) 201-3113

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
I20200611002317 PR Practitioner - General Practice 5496177891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Healthcare Administration LLCGroup PAC ID 5698072940, 6 clinicians

Practice addresses (Care Compare)

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 342-6120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Healthcare Administration LLC CurrentSince May 3, 2020 Accepting new patients
Platinum Emergency Physicians, PSC Past Accepting new patients
Integrated Health Management LLC Past Accepting new patients

Locations

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

H14 Calle 1
Vega Baja, PR 00693
Phone (787) 855-5493

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1962043844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3252",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006133252",
            "telephone_number": "787-201-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 AVE BARBOSA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124329",
            "telephone_number": "787-201-3113",
            "fax_number": "787-815-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ RIVERA",
        "first_name": "EMANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.