DR. RAUL F RIVERA M.D.
NPI 1679672356
Internal Medicine in Arecibo, PR

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
#57 BARBOSA ST., ARECIBO, PR 00612(787) 817-1818(787) 817-1835 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raul F Rivera M.d. NPPES

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

DR. RAUL F RIVERA M.D. (NPI 1679672356) is an individual internal medicine provider in Arecibo, Puerto Rico, licensed in Puerto Rico (12009) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Pavia Arecibo, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1679672356
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAUL F RIVERACredential: M.D.
Location Address#57 BARBOSA ST.Arecibo, PR 00612
Mailing AddressPo Box 143572Arecibo, PR 00614-3572 · (787) 817-1818 · Fax (787) 817-1835
Fax(787) 817-1835
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 21, 2006
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
NPI 1679672356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PR · 12009
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Identifiers 8

Other060551PR · La Cruz Azul
Other100163PR · Medicare Mucho Mas( Mmm)
Other1513PR · International Medical Car
Medicaid0088462PR
Other1583PR · Preferred Medicare Choice
Other88462PR · Triple-s Inc.
Other528210744PR · Cosvi
Other6140007PR · Humana P.r.

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

Dr. Raul F 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 ID1456255793
PECOS Enrollment IDI20031120000005
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services17 patients

Hospital Affiliations CMS Care Compare

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

Hospital Pavia Arecibo

Acute Care Hospitals · Arecibo, PR
OwnershipProprietary
CMS Certification Number400087
LocationCarretera 129 Km.1 Avenida San LuisArecibo, PR 00612 · Arecibo County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00612 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims37 services$6.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims19 services$1.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Raul Rivera's NPI number?

The NPI number for Raul Rivera is 1679672356. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Raul Rivera located?

Raul Rivera practices at #57 Barbosa St., Arecibo, PR 00612. The listed phone number is (787) 817-1818.

What is Raul Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raul Rivera enrolled in Medicare?

Yes. Raul 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.

Is Raul Rivera affiliated with any hospitals?

According to CMS data, Raul Rivera is affiliated with Hospital Pavia Arecibo.

When was this NPI record last updated?

The NPPES record for Raul Rivera was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.