Active NPI
Edgar Rivera Martinez, M.D.
- General Practice Physician
- Aibonito, PR
National Provider Identifier
1972576049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 15031
- Practice address
- Calle Jose C Vazquez
Edificio Profesional Oficina 202 Hospital Menonita
Aibonito, PR 00705 - Phone
- (787) 735-7110
- Fax
- (787) 991-3041
- NPI assigned
- Feb 9, 2006
- Last updated
- Nov 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 15031 | PR | Primary |
Addresses
Primary practice location
Calle Jose C Vazquez
Edificio Profesional Oficina 202 Hospital Menonita
Aibonito, PR 00705
Mailing address
PO Box 2300
PMB 21
Aibonito, PR 00705-2300
Phone (787) 735-7110
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111207000767 | PR | Practitioner - General Practice | 3870522543 | Practice locations: Aibonito, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
202 Edif Profesional Oficina
Aibonito, PR 00705
Phone (787) 735-7110
Edificio Profesional Oficina
202 Hospital Menonita
Aibonito, PR 00705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15031 | PR | MD | General Practice Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aibonito, PR
- NPI 1851320394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1972576049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2300",
"address_2": "PMB 21",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007052300",
"telephone_number": "787-735-7110",
"fax_number": "787-991-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE JOSE C VAZQUEZ",
"address_2": "EDIFICIO PROFESIONAL OFICINA 202 HOSPITAL MENONITA",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-735-7110",
"fax_number": "787-991-3041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA MARTINEZ",
"first_name": "EDGAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "15031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.