Individual provider Active NPI

Eugenio Rivera, MT

  • Clinical Medical Laboratory
  • Barranquitas, PR
National Provider Identifier
1972827715
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
806 Issued in PR
Practice address
3 Calle Barcelo Ste 217
Barranquitas, PR 00794-1737
Phone
(787) 857-7777
Fax
(787) 857-3792
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 806 PR Primary

Addresses

Primary practice location

3 Calle Barcelo Ste 217
Barranquitas, PR 00794-1737

Mailing address

3 Calle Barcelo Ste 217
Barranquitas, PR 00794-1737
Phone (787) 857-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
806PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Esg Group LLC Clinical Medical Laboratory Current Accepting new patients

Locations

3 Calle Barcelo
Ste 217
Barranquitas, PR 00794
Phone (787) 857-7777

Organizations & group practices 1

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1972827715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALLE BARCELO STE 217",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941737",
            "telephone_number": "787-857-7777",
            "fax_number": "787-857-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE BARCELO STE 217",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941737",
            "telephone_number": "787-857-7777",
            "fax_number": "787-857-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "EUGENIO",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.