DR. MIRIAM KIMELY RIVERA VAZQUEZ MD
NPI 1154024941
General Practice in San Juan, PR
About Dr. Miriam Kimely Rivera Vazquez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MIRIAM KIMELY RIVERA VAZQUEZ MD (NPI 1154024941) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (024189) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Miriam Kimely Rivera Vazquez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Miriam Rivera Vazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Juan, PR 00918
- Reassigned Medicare billing, Puerto Rico enrollment
- Medicare enrollment name: Physician Hmo Inc
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JUAN, PR 00918
SAN JUAN, PR 00918
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 Miriam Rivera Vazquez's NPI number?
The NPI number for Miriam Rivera Vazquez is 1154024941. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Miriam Rivera Vazquez located?
Miriam Rivera Vazquez practices at 107 Calle Padre Las Casas, San Juan, PR 00918. The listed phone number is (787) 520-6110.
What is Miriam Rivera Vazquez's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Miriam Rivera Vazquez enrolled in Medicare?
Yes. Miriam Rivera Vazquez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Miriam Rivera Vazquez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Rivera Vazquez reassigns Medicare benefits to Physician H.M.O. Inc. (San Juan, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miriam Rivera Vazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miriam Rivera Vazquez was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Miriam Kimely Rivera Vazquez, MD · NPI 1154024941
General Practice physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1154024941 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 024189 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 107 CALLE PADRE LAS CASAS, San Juan, PR 00918-3104
- **Phone:** (787) 520-6110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physician H.M.O. Inc. (NPI 1730481649, San Juan, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154024941) · Data from the CMS NPPES public registry.