Individual provider Active NPI

Ricardo Antonio Riefkohl, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Canovanas, PR
National Provider Identifier
1982798880
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
16630 Issued in PR
Practice address
101-199 Calle Corchado Final
Clinicas PM&R CDT Canovanas
Canovanas, PR 00729-0001
Phone
(939) 439-6449
NPI assigned
Oct 3, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 16630 PR Primary

Addresses

Primary practice location

101-199 Calle Corchado Final
Clinicas PM&R CDT Canovanas
Canovanas, PR 00729-0001

Mailing address

PO Box 12213
San Juan, PR 00914-0213
Phone (787) 439-5326

Other practice location 1

1451 Ave Ashford
Clinicas PM&R
San Juan, PR 00907-1511
Phone (787) 721-2160 ext. 1088

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
I20130926000880 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Sports Medicine 3072783174 Reassigns benefits to 1 organization
Practice locations: Canovanas, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 -199 Ave Manuel Corchado-Final
Pmandr Department CDT Canovanas
Canovanas, PR 00729-0001
Phone (939) 439-6449

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RRSM PSC Sports Medicine CurrentSince Apr 30, 2016 Accepting new patients
Twenty First Century Urology PLLC Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1982798880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12213",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009140213",
            "telephone_number": "787-439-5326",
            "fax_number": "787-854-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101-199 CALLE CORCHADO FINAL",
            "address_2": "CLINICAS PM&R CDT CANOVANAS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290001",
            "telephone_number": "939-439-6449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 AVE ASHFORD",
            "address_2": "CLINICAS PM&R",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071511",
            "country_code": "US",
            "telephone_number": "787-721-2160 x1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEFKOHL",
        "first_name": "RICARDO",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PR",
            "license": "16630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.