Individual provider Active NPI

Jose Rafael Zambrana Rivera, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1972149540
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21592 Issued in PR
Practice address
Acerola St Coto Laurel
Hospital San Cristobal
Ponce, PR 00780
Phone
(787) 848-2100
NPI assigned
Nov 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 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 21592 PR Primary

Addresses

Primary practice location

Acerola St Coto Laurel
Hospital San Cristobal
Ponce, PR 00780

Mailing address

Valle Hucares
189 Ceiba St
Juana Diaz, PR 00795
Phone (787) 624-9974

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hospitalsancristobalpr.com/

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
I20211027002180 PR Practitioner - General Practice 5890183669 Reassigns benefits to 2 organizations
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone (787) 843-9393

900 Calle Munoz Rivera
Penuelas, PR 00624-1410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Zrmedcare, LLC General Practice CurrentSince Jan 5, 2024 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Med Centro, Inc. General Practice Current Accepting new patients

Locations

900 Calle Munoz Rivera
Penuelas, PR 00624
Phone (787) 624-9974

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1972149540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE HUCARES",
            "address_2": "189 CEIBA ST",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-624-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ACEROLA ST COTO LAUREL",
            "address_2": "HOSPITAL SAN CRISTOBAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-848-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANA RIVERA",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hospitalsancristobalpr.com/",
            "affiliation": "N",
            "address_1": "acerola st coto laurel",
            "address_2": "hospital san cristobal",
            "city": "ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.