Ricardo Alexander Rivera Ortiz, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19643 Issued in PR

Practice address

3923 Calle Lucero
Ponce, PR 00717-1484

Phone

(787) 922-2500

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physician Healthcare Administration LLC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1457730871

  PR

  Medicare reassignment NPD
• Integrated Health Management LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Caguas, PR
  • NPI 1851215933
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982134979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 CALLE LUCERO",
            "address_2": "URB STAR LIGHT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171484",
            "telephone_number": "787-922-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 CALLE LUCERO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171484",
            "telephone_number": "787-922-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ORTIZ",
        "first_name": "RICARDO",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Rivera Octtaviani, M.C.
• Adam Rivera Olivera
• Paula Isabel Rivera Ortega
• Gilberto Jose Rivera Ortiz
• Nehemesis Rivera Ortiz, MD
• Elvin Alexis Rivera Pena, MD
• Myrta Iris Rivera Perez
• Paola Alexandra Rivera Quiles
• Pedro Orlando Rivera Ramirez de Arellano, MD
• Rivera Ramirez LLC

• All providers in Ponce, PR
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.