Individual provider Active NPI

Suzette Rivera Macmurray, MD

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1982678744
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10551 Issued in PR
Practice address
1431 Ponce de Leon Ave
Ste 402
San Juan, PR 00907-4033
Phone
(787) 723-9595
Fax
(787) 723-8051
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10551 PR Primary

Addresses

Primary practice location

1431 Ponce de Leon Ave
Ste 402
San Juan, PR 00907-4033

Mailing address

1431 Ponce de Leon Ave
Ste 402
San Juan, PR 00907-4033
Phone (787) 723-9595

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
I20071030000213 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4688761216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Yale University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 Ave Ponce de Leon
Suite 402
San Juan, PR 00907-4033
Phone (787) 723-9595

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy129
Upper gastrointestinal (GI) endoscopy for acid reflux111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Diseases Associates PSC CurrentSince Oct 10, 1995 Accepting new patients

Locations

1431 Ave Ponce de Leon
Ste 402
San Juan, PR 00907
Phone (787) 723-9595

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1982678744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PONCE DE LEON AVE",
            "address_2": "STE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074033",
            "telephone_number": "787-723-9595",
            "fax_number": "787-723-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PONCE DE LEON AVE",
            "address_2": "STE 402",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074033",
            "telephone_number": "787-723-9595",
            "fax_number": "787-723-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MACMURRAY",
        "first_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "10551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.