Luis A Paris Rivera, M.D
Individual provider Active NPI General Practice Physician · Toa Baja, PR
NPI 1972579159 · NPPES record last updated Jul 6, 2015
Key facts
- NPI
- 1972579159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 016071 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
- CSM Servicios de Cuidado Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060306000629 | PR | Practitioner - General Practice | 8527074160 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016071 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vision Medical Diagnostic LLC | General Practice | Current |
Accepting new patients |
| Integrate Community Health System | Current | Accepting new patients | |
| Integrate Community Health System | Current |
Accepting new patients | |
| New Vision Medical Diagnostics LLC | Current |
Accepting new patients | |
| Integrate Community Health System, Inc. | Current |
Accepting new patients |
Locations
426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 016071 | PR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A704 | Other | PR | INTERNATIONAL MEDICALCARD |
| 016071 | Other | PR | LICENSE PR |
Other providers in Toa Baja, PR
- Eunice Marie Padilla
- Mariamlyd Pagan Diaz
- Victor Pagan
- Darling Taiz Pantoja
- Paramedic Life Care Ambulance Service,Corp
- Yairamaris Pelet Giraud
- Jennifer Pelletier
- Elizabeth Pena Payero
- Noemi Camille Perdomo
- Hector Perez Avila
All providers in Toa Baja, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.