LUCIA RIVERA MATOS MD
NPI 1205331725
Internal Medicine - Gastroenterology in San Juan, PR
About Lucia Rivera Matos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUCIA RIVERA MATOS MD (NPI 1205331725) is an individual gastroenterology provider in San Juan, Puerto Rico, licensed in Puerto Rico (24397) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lucia Rivera Matos Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Lucia Rivera Matos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- 1,896 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Norton Hospitals, Inc
Acute Care Hospitals · Louisville, KYHospital Pavia Santurce
Acute Care Hospitals · San Juan, PRPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 00907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JUAN, PR 00907
SAN JUAN, PR 00907
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 Lucia Rivera Matos's NPI number?
The NPI number for Lucia Rivera Matos is 1205331725. It was assigned to this individual provider in the NPPES registry on March 27, 2018.
Where is Lucia Rivera Matos located?
Lucia Rivera Matos practices at 1431 Ave Ponce De Leon Ste 402, San Juan, PR 00907. The listed phone number is (787) 723-9595.
What is Lucia Rivera Matos's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Lucia Rivera Matos enrolled in Medicare?
Yes. Lucia Rivera Matos 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.
Which organization bills Medicare for Lucia Rivera Matos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucia Rivera Matos reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). 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 Lucia Rivera Matos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lucia Rivera Matos accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Lucia Rivera Matos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lucia Rivera Matos affiliated with any hospitals?
According to CMS data, Lucia Rivera Matos is affiliated with Norton Hospitals, Inc and Hospital Pavia Santurce.
When was this NPI record last updated?
The NPPES record for Lucia Rivera Matos was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Lucia Rivera Matos, MD · NPI 1205331725
Gastroenterology physician in San Juan, Puerto Rico. Individual provider, active in the CMS NPPES registry since March 27, 2018.
## Identity
- **NPI:** 1205331725 (Entity type: Individual)
- **Enumerated:** March 27, 2018
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 24397 (Puerto Rico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1431 AVE PONCE DE LEON STE 402, San Juan, PR 00907-4033
- **Phone:** (787) 723-9595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Medical Associates, Inc. (NPI 1073089850, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Central Del Caribe Escuela De Medicina, class of 2018
## Record status
- **NPPES last updated:** October 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205331725) · Data from the CMS NPPES public registry.