EVELYN M FONSECA RIVERA M.D.
NPI 1659398949
Internal Medicine - Hematology & Oncology in Caguas, PR

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
70.06/100
CMS Quality Rating
HOSPITAL HIMA CAGUAS PISO G AVENIDA LUIS MUNOZ MARIN, CAGUAS, PR 00725(787) 744-8686(787) 258-1125 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evelyn M Fonseca Rivera M.d. NPPES

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

EVELYN M FONSECA RIVERA M.D. (NPI 1659398949) is an individual hematology & oncology provider in Caguas, Puerto Rico, licensed in Puerto Rico (9601) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1659398949
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameEVELYN M FONSECA RIVERACredential: M.D.
Location AddressHOSPITAL HIMA CAGUAS PISO G AVENIDA LUIS MUNOZ MARINCaguas, PR 00725
Mailing AddressPmb 331 S-1, P O Box 4961Caguas, PR 00726
Fax(787) 258-1125
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 8, 2018
NPI 1659398949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in PR · 9601
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Other Identifiers 9

Other2905PR · American Health
Other821378PR · Medicare Y Mucho Mas
Other9601PR · Cosvi
Other9601PR · Triple S
Other8000210PR · Humana Gold Plus
Other67892PR · Cruz Azul
Other1859PR · Prefferred Medical Choice
Other8000210PR · Humana
Other82480PR · Pali

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evelyn M Fonseca Rivera 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 ID6002913522
PECOS Enrollment IDI20070517000601
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00725 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
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
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.

70.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.84
Promoting Interoperability99
Improvement Activities40

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 Evelyn Fonseca Rivera's NPI number?

The NPI number for Evelyn Fonseca Rivera is 1659398949. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Evelyn Fonseca Rivera located?

Evelyn Fonseca Rivera practices at Hospital Hima Caguas Piso G Avenida Luis Munoz Marin, Caguas, PR 00725. The listed phone number is (787) 744-8686.

What is Evelyn Fonseca Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Evelyn Fonseca Rivera enrolled in Medicare?

Yes. Evelyn Fonseca Rivera 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.

When was this NPI record last updated?

The NPPES record for Evelyn Fonseca Rivera was last updated on June 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.