DR. JOSE L. NIEVES-RIVERA MD
Prescription History 1033138607
Internal Medicine - Nephrology in San Juan, PR
What does Dr. Nieves-Rivera prescribe?
In 2024, Dr. Nieves-Rivera wrote 1,447 Medicare prescriptions for 47 medications. The most prescribed was Sevelamer Carbonate, with 172 prescriptions for 34 patients.
Medicare Part D only. These are prescriptions filled by people with Medicare drug coverage in 2024, from the CMS data released in 2026, the most recent year available. CMS does not publish medications with fewer than 11 prescriptions, so this is not a full list of what Dr. Nieves-Rivera prescribes.
Medications 47 medications
Prescriptions filled under Medicare Part D in 2024. Select a medication to see what it is used for and how it compares with other Puerto Rico prescribers.
What it is used for
Sevelamer is used to lower high blood phosphorus (phosphate) levels in patients who are on dialysis due to severe kidney disease.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 172 prescriptions for Sevelamer Carbonate, about 1.6 times as often as the typical Puerto Rico prescriber of it (108). Medicare paid $169.59 per fill, versus $140.87 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Atorvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 86 prescriptions for Atorvastatin Calcium, about 26% as often as the typical Puerto Rico prescriber of it (337). Medicare paid $12.04 per fill, versus $10.05 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Gabapentin is used with other medications to prevent and control seizures.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 80 prescriptions for Gabapentin, about 31% as often as the typical Puerto Rico prescriber of it (262). Medicare paid $17.63 per fill, versus $9.88 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Allopurinol is used to treat gout and certain types of kidney stones.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 65 prescriptions for Allopurinol, about as often as the typical Puerto Rico prescriber of it (60). Medicare paid $13.10 per fill, versus $8.75 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Dapagliflozin is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 65 prescriptions for Farxiga, about 73% as often as the typical Puerto Rico prescriber of it (89). Medicare paid $915.12 per fill, versus $782.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Doxazosin is used alone or with other drugs to treat high blood pressure (hypertension).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 57 prescriptions for Doxazosin Mesylate, about 87% as often as the typical Puerto Rico prescriber of it (66). Medicare paid $29.99 per fill, versus $19.06 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Losartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 50 prescriptions for Losartan Potassium, about 20% as often as the typical Puerto Rico prescriber of it (247). Medicare paid $14.63 per fill, versus $10.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Irbesartan is used to treat high blood pressure (hypertension) and to help protect the kidneys from damage due to diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 44 prescriptions for Irbesartan, about half as often as the typical Puerto Rico prescriber of it (81). Medicare paid $40.62 per fill, versus $26.55 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a high level of potassium in your blood.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 39 prescriptions for Sodium Polystyrene Sulfonate, about 1.4 times as often as the typical Puerto Rico prescriber of it (27). Medicare paid $157.02 per fill, versus $113.54 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Candesartan is used to treat high blood pressure (hypertension).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 38 prescriptions for Candesartan Cilexetil, about 67% as often as the typical Puerto Rico prescriber of it (57). Medicare paid $155.11 per fill, versus $96.98 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Amlodipine is used with or without other medications to treat high blood pressure.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 37 prescriptions for Amlodipine Besylate, about 18% as often as the typical Puerto Rico prescriber of it (210). Medicare paid $6.16 per fill, versus $5.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used for certain patients who have symptoms of low blood pressure when standing.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 34 prescriptions for Midodrine Hcl, about 1.4 times as often as the typical Puerto Rico prescriber of it (25). Medicare paid $58.43 per fill, versus $39.71 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Tamsulosin is used by men to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia-BPH).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 34 prescriptions for Tamsulosin Hcl, about 27% as often as the typical Puerto Rico prescriber of it (127). Medicare paid $17.58 per fill, versus $10.59 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 33 prescriptions for Famotidine, about 16% as often as the typical Puerto Rico prescriber of it (204). Medicare paid $10.50 per fill, versus $7.25 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Hydralazine is used with or without other medications to treat high blood pressure.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 33 prescriptions for Hydralazine Hcl, about half as often as the typical Puerto Rico prescriber of it (58). Medicare paid $15.76 per fill, versus $13.06 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 31 prescriptions for Metoprolol Succinate, about 18% as often as the typical Puerto Rico prescriber of it (176). Medicare paid $20.38 per fill, versus $15.32 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Apixaban is used to prevent serious blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip/knee replacement surgery.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 28 prescriptions for Eliquis, about 41% as often as the typical Puerto Rico prescriber of it (68). Medicare paid $783.72 per fill, versus $747.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 28 prescriptions for Synthroid, about 12% as often as the typical Puerto Rico prescriber of it (233). Medicare paid $142.74 per fill, versus $76.31 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Levothyroxine is used to treat an underactive thyroid (hypothyroidism).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 27 prescriptions for Levothyroxine Sodium, about 15% as often as the typical Puerto Rico prescriber of it (183). Medicare paid $20.33 per fill, versus $11.95 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Simvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 26 prescriptions for Simvastatin, about 13% as often as the typical Puerto Rico prescriber of it (193). Medicare paid $11.54 per fill, versus $7.24 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 25 prescriptions for Furosemide, about 31% as often as the typical Puerto Rico prescriber of it (82). Medicare paid $5.07 per fill, versus $5.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Enalapril is used to treat high blood pressure.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 24 prescriptions for Enalapril Maleate, about 38% as often as the typical Puerto Rico prescriber of it (63). Medicare paid $14.66 per fill, versus $20.83 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Nifedipine is used alone or in combination with other drugs to treat high blood pressure (hypertension).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 24 prescriptions for Nifedipine Er, about half as often as the typical Puerto Rico prescriber of it (49). Medicare paid $53.41 per fill, versus $23.90 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This drug is used to treat high blood pressure (hypertension).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 23 prescriptions for Irbesartan-Hydrochlorothiazide, about half as often as the typical Puerto Rico prescriber of it (53). Medicare paid $47.75 per fill, versus $35.08 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 23 prescriptions for Lantus, about 30% as often as the typical Puerto Rico prescriber of it (78). Medicare paid $102.30 per fill, versus $105.17 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 23 prescriptions for Pantoprazole Sodium, about 16% as often as the typical Puerto Rico prescriber of it (142). Medicare paid $12.53 per fill, versus $8.42 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Clopidogrel is used to prevent heart attacks and strokes in persons with heart disease (recent heart attack), recent stroke, or blood circulation disease (peripheral vascular disease).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 20 prescriptions for Clopidogrel, about 18% as often as the typical Puerto Rico prescriber of it (109). Medicare paid $15.11 per fill, versus $10.63 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Calcium acetate is used to prevent high blood phosphate levels in patients who are on dialysis due to severe kidney disease.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 19 prescriptions for Calcium Acetate, about 32% as often as the typical Puerto Rico prescriber of it (59). Medicare paid $124.35 per fill, versus $91.90 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Carvedilol is used to treat high blood pressure and heart failure.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 18 prescriptions for Carvedilol, about 21% as often as the typical Puerto Rico prescriber of it (86). Medicare paid $17.21 per fill, versus $8.48 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Latanoprost is used to treat high pressure inside the eye due to glaucoma (open angle type) or other eye diseases (such as ocular hypertension).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 17 prescriptions for Latanoprost, about 11% as often as the typical Puerto Rico prescriber of it (157). Medicare paid $13.66 per fill, versus $12.94 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Omeprazole is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 17 prescriptions for Omeprazole, about 11% as often as the typical Puerto Rico prescriber of it (158). Medicare paid $8.87 per fill, versus $6.77 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rosuvastatin is used along with a proper diet to help lower "bad" cholesterol and fats (such as LDL, triglycerides) and raise "good" cholesterol (HDL) in the blood.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 15 prescriptions for Rosuvastatin Calcium, about 8% as often as the typical Puerto Rico prescriber of it (185). Medicare paid $20.73 per fill, versus $12.35 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 14 prescriptions for Bumetanide, about 40% as often as the typical Puerto Rico prescriber of it (35). Medicare paid $42.16 per fill, versus $26.52 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Ezetimibe is used along with a low cholesterol/low fat diet and exercise to help lower cholesterol in the blood.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 14 prescriptions for Ezetimibe, about 17% as often as the typical Puerto Rico prescriber of it (84). Medicare paid $31.37 per fill, versus $17.57 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin glargine is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 14 prescriptions for Lantus Solostar, about 36% as often as the typical Puerto Rico prescriber of it (39). Medicare paid $91.96 per fill, versus $108.79 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat high levels of potassium in the blood.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 14 prescriptions for Lokelma, about 31% as often as the typical Puerto Rico prescriber of it (45). Medicare paid $980.69 per fill, versus $739.99 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 14 prescriptions for Sulfamethoxazole-Trimethoprim, about 41% as often as the typical Puerto Rico prescriber of it (34). Medicare paid $2.90 per fill, versus $4.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Valsartan is used to treat high blood pressure and heart failure.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 14 prescriptions for Valsartan, about 32% as often as the typical Puerto Rico prescriber of it (44). Medicare paid $40.59 per fill, versus $30.51 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Fludrocortisone is a man-made form of a natural substance (glucocorticoid) made by the body.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 13 prescriptions for Fludrocortisone Acetate, about 87% as often as the typical Puerto Rico prescriber of it (15). Medicare paid $84.56 per fill, versus $26.14 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glimepiride is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 13 prescriptions for Glimepiride, about 13% as often as the typical Puerto Rico prescriber of it (101). Medicare paid $13.31 per fill, versus $15.37 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Glipizide is used with a proper diet and exercise program to control high blood sugar in people with type 2 diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 13 prescriptions for Glipizide, about 17% as often as the typical Puerto Rico prescriber of it (76). Medicare paid $12.34 per fill, versus $17.11 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This medication is used to treat a variety of bacterial infections.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 12 prescriptions for Ciprofloxacin Hcl, about 30% as often as the typical Puerto Rico prescriber of it (40). Medicare paid $5.93 per fill, versus $7.67 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to treat a variety of inflamed fungal skin infections such as ringworm, athlete's foot, and jock itch.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 12 prescriptions for Clotrimazole-Betamethasone, about 19% as often as the typical Puerto Rico prescriber of it (64). Medicare paid $25.98 per fill, versus $30.10 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Montelukast is used to control and prevent symptoms caused by asthma (such as wheezing and shortness of breath).
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 12 prescriptions for Montelukast Sodium, about 9% as often as the typical Puerto Rico prescriber of it (130). Medicare paid $6.30 per fill, versus $10.15 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Insulin lispro is used with a proper diet and exercise program to control high blood sugar in people with diabetes.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 11 prescriptions for Humalog, about 27% as often as the typical Puerto Rico prescriber of it (41). Medicare paid $84.05 per fill, versus $126.60 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
This combination medication is used to help relieve moderate to severe pain.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 11 prescriptions for Oxycodone-Acetaminophen, about 22% as often as the typical Puerto Rico prescriber of it (50). Medicare paid $25.28 per fill, versus $19.22 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
What it is used for
Rivaroxaban is used to prevent blood clots from forming due to a certain irregular heartbeat (atrial fibrillation) or after hip or knee replacement surgery.
Compared with Puerto Rico prescribers
Dr. Nieves-Rivera wrote 11 prescriptions for Xarelto, about 22% as often as the typical Puerto Rico prescriber of it (51). Medicare paid $571.76 per fill, versus $774.22 statewide.
Volume reflects how many Medicare patients a practice sees as well as prescribing habits. It is not a measure of quality.
Questions about Dr. Nieves-Rivera’s prescriptions
What does Dr. Nieves-Rivera prescribe most?
In 2024 Medicare Part D data, Dr. Nieves-Rivera's most prescribed medications were Sevelamer Carbonate (172), Atorvastatin Calcium (86) and Gabapentin (80).
How does Dr. Nieves-Rivera's prescribing compare with other Puerto Rico prescribers?
Of the 47 medications with a state comparison, Dr. Nieves-Rivera prescribes 3 more often than the typical Puerto Rico prescriber, 3 about as often and 41 less often. Volume reflects practice size as well as prescribing habits.
Does this list show every medication Dr. Nieves-Rivera prescribes?
No. It covers prescriptions filled by people with Medicare Part D drug coverage in 2024, and CMS leaves out any medication with fewer than 11 prescriptions.
About this data
This page shows one provider’s slice of public Medicare files. NPI Profile does not receive prescriptions or patient records.
| Source | What it provides here | Data year |
|---|---|---|
| CMS Medicare Part D Prescribers by Provider and Drug | Each medication, prescriptions, patients, 30-day fills, days of medication and cost. State comparisons average the Puerto Rico prescribers of the same medication and form, where at least five wrote it. | 2024 (released 2026, the most recent available) |
| CMS Medicare Part D Drug Spending Dashboard | What each medication is used for. | 2024 |
- Only prescriptions filled by people with Medicare Part D drug coverage are counted. Private insurance, Medicaid and cash purchases are not.
- CMS leaves out medications with fewer than 11 prescriptions and hides patient counts under 11.
- Cost per fill is what the plan and the patient paid the pharmacy together, not what you pay at the counter.
- Medication descriptions are summaries from CMS. They are not medical advice; ask a health care professional about any medication.
