1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. General Practice
  6. NPI Profile

RAYMOND MANUEL RIVERA VERGARA
NPI 1851761555
General Practice in Philadelphia, PA

Active since October 07, 2015PECOS Enrolled
4720 PINE ST APT C3, PHILADELPHIA, PA 19143(267) 595-1655(302) 233-7475 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2023, Apr 25, 2020, Apr 8, 2020 and 1 more (4 updates tracked since 2019).

About Raymond Manuel Rivera Vergara NPPES

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

RAYMOND MANUEL RIVERA VERGARA (NPI 1851761555) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD478007) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851761555
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameRAYMOND MANUEL RIVERA VERGARA
Location Address4720 PINE ST APT C3Philadelphia, PA 19143-1840
Mailing Address4720 Pine St Apt C3Philadelphia, PA 19143-1840 · (267) 595-1655 · Fax (302) 233-7475
Phone(267) 595-1655
Fax(302) 233-7475
Sole ProprietorYes
Enumeration DateOctober 7, 2015
Last NPPES UpdateApril 7, 20234 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1851761555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in PA · MD478007✔ Licensed in PR · 21515
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4720 PINE ST APT C3, Philadelphia, PA 19143
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raymond Manuel Rivera Vergara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Raymond Rivera Vergara's NPI number?

The NPI number for Raymond Rivera Vergara is 1851761555. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Raymond Rivera Vergara located?

Raymond Rivera Vergara practices at 4720 Pine St Apt C3, Philadelphia, PA 19143. The listed phone number is (267) 595-1655.

What is Raymond Rivera Vergara's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Raymond Rivera Vergara enrolled in Medicare?

Yes. Raymond Rivera Vergara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raymond Rivera Vergara was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.