RAFAEL JOSE RIVERA
NPI 1003911264
Internal Medicine - Interventional Cardiology in Ponce, PR

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCASSUITE 504, PONCE, PR 00716(787) 651-1432 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Jose Rivera NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAEL JOSE RIVERA (NPI 1003911264) is an individual interventional cardiology provider in Ponce, Puerto Rico, licensed in Puerto Rico (16384) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Episcopal San Lucas Ii, and is a graduate of University Central Del Caribe Escuela De Medicina (2003).

NPPES Registry Identity

NPI1003911264
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameRAFAEL JOSE RIVERA
Location Address909 AVE TITO CASTRO, TORRE MEDICA SAN LUCASSUITE 504Ponce, PR 00716
Mailing AddressPmb 374, Ave Tito Castro, Suite 102Ponce, PR 00716 · (787) 709-0791
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2003
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 12, 2017
NPI 1003911264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in PR · 16384
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 16384 (PR)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 16384 (PR)
909 AVE TITO CASTRO, Ponce, PR 00716

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rafael Jose Rivera is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567596034
PECOS Enrollment IDI20100819000284
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Episcopal San Lucas II

Acute Care Hospitals · Ponce, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400044
Location917 Ave Tito CastroPonce, PR 00716 · Ponce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 504
PONCE, PR 00716
Surgery (Plastic and Reconstructive Surgery)
909 AVE TITO CASTRO, TORRE MEDICA SAN LUCAS SUITE 502
PONCE, PR 00716
Ophthalmology
909 AVE TITO CASTRO, SUITE 709
PONCE, PR 00716
Internal Medicine (Cardiovascular Disease)
909 AVE TITO CASTRO, SUITE 623
PONCE, PR 00716
General Practice
909 AVE TITO CASTRO, STE 712 TORRE MEDICA SAN LUCAS
PONCE, PR 00716
General Acute Care Hospital (Critical Access)
909 AVE TITO CASTRO, STE 609 TORRE MEDICA SAN LUCAS
PONCE, PR 00716
Physical Medicine & Rehabilitation
909 AVE TITO CASTRO, HOSPITAL SAN LUCAS DEPT TERAPIA FISICA
PONCE, PR 00716
General Practice
909 AVE TITO CASTRO
PONCE, PR 00716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Rivera's NPI number?

The NPI number for Rafael Rivera is 1003911264. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Rafael Rivera located?

Rafael Rivera practices at 909 Ave Tito Castro Torre Medica San Lucassuite 504, Ponce, PR 00716. The listed phone number is (787) 651-1432.

What is Rafael Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Rafael Rivera enrolled in Medicare?

Yes. Rafael Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rafael Rivera affiliated with any hospitals?

According to CMS data, Rafael Rivera is affiliated with Hospital Episcopal San Lucas II.

When was this NPI record last updated?

The NPPES record for Rafael Rivera was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.