DR. LILLIAM V RIVERA M.D.
NPI 1093914434
Pediatrics in Ponce, PR

NPI Status: Active since July 16, 2007

Contact Information

2225 PONCE BYP
SUITE 902
PONCE, PR
ZIP 00717
Phone: (787) 848-5252

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About LILLIAM RIVERA

This page provides the complete NPI Profile along with additional information for Lilliam Rivera, a pediatrician established in Ponce, Puerto Rico with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1093914434 assigned on July 2007. The practitioner's primary taxonomy code is 208000000X with license number 11157 (PR). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1093914434
Provider Name
DR. LILLIAM V RIVERA M.D.
Gender
Female
Entity Type
Individual
Location Address
2225 PONCE BYP SUITE 902 PONCE, PR 00717
Location Phone
(787) 848-5252
Mailing Address
PO BOX 801215 COTO LAUREL, PR 00780
Mailing Phone
(787) 848-5252
Is Sole Proprietor?
Yes
Enumeration Date
07-16-2007
Last Update Date
07-16-2007
Code Navigator

A pediatrician like Lilliam Rivera is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
11157
License State
PR
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Medicare Participation & PECOS Enrollment Status

Lilliam Rivera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 00717 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.07
  • Minimum New Patient Price $56.86
  • Maximum New Patient Price $172.44
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.24
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.44
  • Average Established Patient Copayment $25.06
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093914434, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 8 + 1 + 8 + 4 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093914434.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
2225 PONCE BYP, STE 605
PONCE, PR 00717
Internal Medicine (Gastroenterology)
2225 PONCE BYP, SUITE 909
PONCE, PR 00717
Internal Medicine (Pulmonary Disease)
2225 PONCE BYP, STE 703
PONCE, PR 00717
Internal Medicine (Pulmonary Disease)
2225 PONCE BYP, STE 703
PONCE, PR 00717
Internal Medicine (Cardiovascular Disease)
2225 PONCE BYP, PARRA MEDICAL INSTITUTE SUITE 707
PONCE, PR 00717
Audiologist
2225 PONCE BYP, EDIFICIO PARRA SUITE 406
PONCE, PR 00717
Radiologic Technologist (Nuclear Medicine Technology)
2225 PONCE BYP, EDIF. PARRA SUITE 103
PONCE, PR 00717
Psychologist (Clinical)
2225 PONCE BYP, EDIF. PARRA, SUITE 304
PONCE, PR 00717
Clinic/Center (Mental Health (Including Community Mental Health Center))
2225 PONCE BYP, STE 709
PONCE, PR 00717
General Practice
2225 PONCE BYP
PONCE, PR 00717
Clinic/Center (Oncology)
2225 PONCE BYP, SUITE 606
PONCE, PR 00717
Clinic/Center
2225 PONCE BYP, SUITE 401
PONCE, PR 00717
Specialist
2225 PONCE BYP, SUITE 502
PONCE, PR 00717
Clinic/Center (Multi-Specialty)
2225 PONCE BYP, STE 702
PONCE, PR 00717
Obstetrics & Gynecology (Gynecologic Oncology)
2225 PONCE BYP
PONCE, PR 00717
General Practice
2225 PONCE BYP, 407
PONCE, PR 00717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093914434, enumerated as an "individual" on July 16, 2007.

The provider is located at 2225 PONCE BYP SUITE 902 PONCE, PR 00717 and the phone number is (787) 848-5252.

Pediatrics with taxonomy code 208000000X.