DR. RICARDO RENE RIVERA FERNANDEZ M.D.
NPI 1609152701
Radiology - Diagnostic Radiology in Fajardo, PR

Q: What is Ricardo Rivera Fernandez's NPI number?

The NPI number for Ricardo Rivera Fernandez is 1609152701. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Q: What is Ricardo Rivera Fernandez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since November 02, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

316 AVE GENERAL VALERO, FAJARDO, PR 00738(787) 860-3400 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2025, May 8, 2025, Aug 2, 2020 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Ricardo Rene Rivera Fernandez M.d. NPPES

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

DR. RICARDO RENE RIVERA FERNANDEZ M.D. (NPI 1609152701) is an individual diagnostic radiology provider in Fajardo, Puerto Rico, licensed in Puerto Rico (18880) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609152701

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. RICARDO RENE RIVERA FERNANDEZCredential: M.D.

Location Address316 AVE GENERAL VALEROFajardo, PR 00738-4848

Mailing AddressPo Box 490Puerto Real, PR 00740-0490 · (787) 860-3400

Phone(787) 860-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 2, 2011

Last NPPES UpdateOctober 10, 20255 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1609152701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in PR · 18880✔ Licensed in GA · 104501

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Secondary Practice Locations 2

Location 1400 Health Park BlvdSt Augustine, FL 32086-5784 · Phone (904) 819-5155

Location 2743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-8420

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Ricardo Rene Rivera Fernandez M.d. 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 ID2567867344

PECOS Enrollment IDI20210817001101, I20231130002748, I20250729004987, I20251027002896, I20260227000073

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.

Medicare Billing Reassignments

Medicare enrollment records show Ricardo Rivera Fernandez reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concilio De Salud Integral De Loiza, Inc.

Federally Qualified Health Center (FQHC)

CARRETERA #187 INT.#188 LOIZA, PR, 00772, BOX 509, LOIZA STATION
Loiza, PR 00772

Reassigned Medicare billing, Puerto Rico enrollment
43 clinicians in this Medicare group

NPI 1558664102 (787) 876-2042

Danville Physician Practices LLC

Diagnostic Radiology

142 S MAIN ST
Danville, VA 24541

Reassigned Medicare billing, Puerto Rico enrollment
7 clinicians in this Medicare group

NPI 1265243612 (434) 799-2100

Dlp Twin County Physician Practices LLC

Surgery

225 HOSPITAL DR
Galax, VA 24333

Reassigned Medicare billing, Puerto Rico enrollment
8 clinicians in this Medicare group

NPI 1033485925 (276) 236-6909

East Cooper Physician Group LLC

Body Imaging

2000 HOSPITAL DR
Mt Pleasant, SC 29464

Reassigned Medicare billing, Puerto Rico and South Carolina enrollments
Also billed through NPI 1033006747 (South Carolina)

NPI 1699641571 (843) 881-0110

Fajardo Imaging Inc

Magnetic Resonance Imaging (MRI)

316 GENERAL VALERO STREET
Fajardo, PR 00738

Reassigned Medicare billing, Puerto Rico enrollment
2 clinicians in this Medicare group

NPI 1871646372 (787) 860-3400

Fajardo Imaging Mri Csp

Radiology, Mammography

AVE AGUSTIN PEREZ ANDINO B-30, VILLAS DE RIO GRANDE
Rio Grande, PR 00745

Reassigned Medicare billing, Puerto Rico enrollment
2 clinicians in this Medicare group

NPI 1295896587 (787) 887-5944

Hospital Menonita Caguas Inc

Specialist

CARRETERA 172 SALIDA 21 CAGUAS A CIDRA
Caguas, PR 00725

Reassigned Medicare billing, Puerto Rico enrollment
85 clinicians in this Medicare group

NPI 1295327625 (787) 434-1700

Hospital Menonita De Cayey

Specialist

RINCO INTERIOR 14ST
Cayey, PR 00737

Reassigned Medicare billing, Puerto Rico enrollment
162 clinicians in this Medicare group

NPI 1255461893 (787) 535-1001

Inverness Medical Imaging LLC

Diagnostic Radiology

2105 STATE ROAD 44 W
Inverness, FL 34452

Reassigned Medicare billing, Puerto Rico enrollment
3 clinicians in this Medicare group

NPI 1093763591 (352) 419-4818

Medical Imaging Center Of Ocala LLP

Diagnostic Radiology

1490 SE MAGNOLIA EXT
Ocala, FL 34471

Reassigned Medicare billing, Puerto Rico enrollment
3 clinicians in this Medicare group

NPI 1669469045 (352) 671-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 41

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

826 services725 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

361 services336 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

157 services155 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

122 services120 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

119 services119 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

108 services108 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

76 services71 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

69 services68 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

44 services43 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

43 services43 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

43 services43 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

37 services37 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

33 services33 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

32 services32 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

31 services29 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

29 services29 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

25 services25 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

24 services24 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

23 services23 patients

Ct scan of lower spine with contrast 72132

A CT scan of the lower spine with contrast is a non-invasive imaging test that uses X-ray technology and a contrast dye to create detailed pictures of your lower spine. It helps in diagnosing conditions like herniated discs, fractures, or tumors.

23 services23 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

22 services22 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

22 services22 patients

Ct scan of pelvis without contrast 72192

A CT scan of the pelvis without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your lower abdomen area. It helps in detecting issues like injuries, inflammation, or abnormal growths. It doesn't involve any dye injection.

21 services21 patients

X-ray of chest, 2 views 71046

20 services20 patients

Ct scan of chest without contrast 71250

20 services20 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

20 services19 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

19 services19 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

18 services18 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

17 services17 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

16 services16 patients

Ct scan of middle spine with contrast 72129

A CT scan of the middle spine with contrast is a detailed imaging test. A special dye is used to highlight areas in your spine, providing clearer pictures. It helps doctors diagnose issues such as injuries, infections, or diseases in that area.

15 services15 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

15 services12 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

15 services15 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

14 services13 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

13 services13 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

13 services13 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

13 services12 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

13 services11 patients

Ct scan of abdomen and pelvis with contrast 74177

13 services13 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

12 services12 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100017

Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County

Emergency services Birthing friendly

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100212

Location1431 SW 1st AveOcala, FL 34471 · Marion County

Emergency services

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00738 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

$88.07 typical visit price

range $56.86 – $172.44

Typical copayment $22.01 (range $14.21 – $43.11)

Most-billed visit code 99203

Established Patient

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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 Ricardo Rivera Fernandez's NPI number?

The NPI number for Ricardo Rivera Fernandez is 1609152701. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Ricardo Rivera Fernandez located?

Ricardo Rivera Fernandez practices at 316 Ave General Valero, Fajardo, PR 00738. The listed phone number is (787) 860-3400.

What is Ricardo Rivera Fernandez's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ricardo Rivera Fernandez enrolled in Medicare?

Yes. Ricardo Rivera Fernandez 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 organizations bill Medicare for Ricardo Rivera Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Rivera Fernandez reassigns Medicare benefits to 17 organizations: Concilio De Salud Integral De Loiza, Inc. (Loiza, PR), Danville Physician Practices LLC (Danville, VA), Dlp Twin County Physician Practices LLC (Galax, VA), East Cooper Physician Group LLC (Mt Pleasant, SC), Fajardo Imaging Inc (Fajardo, PR) and 12 more organizations, listed in the Medicare section above. Each 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 Ricardo Rivera Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Rivera Fernandez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Oscar Health list Ricardo Rivera Fernandez 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 Ricardo Rivera Fernandez affiliated with any hospitals?

According to CMS data, Ricardo Rivera Fernandez is affiliated with Halifax Health Medical Center, Adventhealth Ocala, Flagler Hospital, Marion Communtiy Hospital and Northeast Georgia Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Ricardo Rivera Fernandez was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.