Individual provider Active NPI

Michelle Rivera Resto, M.D.

  • Gastroenterology Physician
  • Las Piedras, PR
National Provider Identifier
1982812376
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
15768 Issued in PR
Practice address
14 Calle Cerezo
Mans de Los Artesanos
Las Piedras, PR 00771-9023
Phone
(787) 671-5957
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15768 PR
Gastroenterology Physician 207RG0100X 15768 PR Primary

Addresses

Primary practice location

14 Calle Cerezo
Mans de Los Artesanos
Las Piedras, PR 00771-9023

Mailing address

14 Calle Cerezo
Mans de Los Artesanos
Las Piedras, PR 00771-9023
Phone (787) 671-5957

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
I20101215000316 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4587851639 Reassigns benefits to 1 organization
Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malave Surgical Group PSCGroup PAC ID 9931322492, 2 clinicians

Practice addresses (Care Compare)

Carr 3 KM
3 Bo Rio Abajo
Humacao, PR 00791

Carretera 3 KM
4 Barrio Rio Abajo
Humacao, PR 00791
Phone (787) 285-1026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15768PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malave Surgical Group,PSC Gastroenterology CurrentSince Mar 11, 2014 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1982812376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CALLE CEREZO",
            "address_2": "MANS DE LOS ARTESANOS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719023",
            "telephone_number": "787-671-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE CEREZO",
            "address_2": "MANS DE LOS ARTESANOS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719023",
            "telephone_number": "787-671-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RESTO",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15768",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "15768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

Verify at the official NPI Registry.