Individual provider Active NPI

Luis A Paris Rivera, M.D

  • General Practice Physician
  • Toa Baja, PR
National Provider Identifier
1972579159
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
016071 Issued in PR
Practice address
HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634
Phone
(787) 200-2830
Fax
(787) 784-0680
NPI assigned
Feb 27, 2006
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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 016071 PR Primary

Addresses

Primary practice location

HF16 Calle Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634

Mailing address

Building C#2, Apartment #42 San Fernando Bayamon, PR.
Bayamon, PR 00917
Phone (787) 786-4556

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
I20060306000629 PR Practitioner - General Practice 8527074160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
CSM Servicios de Cuidado IncGroup PAC ID 0042394017, 5 clinicians

Practice addresses (Care Compare)

7 N BLQ 32 Calle
17 Urb Miraflores
Bayamon, PR 00957
Phone (787) 797-5674

HF-16 Lizzie Graham
Septima Seccion Levittown
Toa Baja, PR 00949-3634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016071PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System CurrentSince Mar 1, 2017 Accepting new patients
Integrate Community Health System Current Accepting new patients
New Vision Medical Diagnostics LLC CurrentSince Jan 13, 2023 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Mar 1, 2017 Accepting new patients
New Vision Medical Diagnostic LLC General Practice CurrentSince Jan 13, 2023 Accepting new patients

Locations

426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1972579159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING C#2, APARTMENT #42 SAN FERNANDO BAYAMON, PR.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-786-4556",
            "fax_number": "787-282-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HF16 CALLE LIZZIE GRAHAM",
            "address_2": "SEPTIMA SECCION LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493634",
            "telephone_number": "787-200-2830",
            "fax_number": "787-784-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS RIVERA",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "016071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.