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JOSE RAFAEL ZAMBRANA RIVERA MD
NPI 1972149540
General Practice in Ponce, PR

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment
ACEROLA ST COTO LAUREL, HOSPITAL SAN CRISTOBAL, PONCE, PR 00780(787) 848-2100 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2019, Nov 19, 2019 (2 updates tracked since 2019).

About Jose Rafael Zambrana Rivera Md NPPES

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

JOSE RAFAEL ZAMBRANA RIVERA MD (NPI 1972149540) is an individual general practice provider in Ponce, Puerto Rico, licensed in Puerto Rico (21592) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972149540
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSE RAFAEL ZAMBRANA RIVERACredential: MD
Location AddressACEROLA ST COTO LAUREL, HOSPITAL SAN CRISTOBALPonce, PR 00780
Mailing AddressValle Hucares, 189 Ceiba StJuana Diaz, PR 00795 · (787) 624-9974
Phone(787) 848-2100
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 19, 2019
Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration
✔ NPI 1972149540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 21592
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

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

Jose Rafael Zambrana Rivera 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.

PECOS PAC ID5890183669
PECOS Enrollment IDI20211027002180
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

2

Medicare enrollment records show Jose Zambrana Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Med Centro, Inc.
Federally Qualified Health Center (FQHC)
CARR 385 # KM.5, CUEVAS WARD
Penuelas, PR 00624
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 94 clinicians in this Medicare group
NPI 1225301641 (787) 843-9393
Zrmedcare, LLC
General Practice
900 CALLE MUNOZ RIVERA
Penuelas, PR 00624
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1801666599 (787) 624-9974

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

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 Jose Zambrana Rivera's NPI number?

The NPI number for Jose Zambrana Rivera is 1972149540. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Jose Zambrana Rivera located?

Jose Zambrana Rivera practices at Acerola St Coto Laurel Hospital San Cristobal, Ponce, PR 00780. The listed phone number is (787) 848-2100.

What is Jose Zambrana Rivera's specialty?

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

Is Jose Zambrana Rivera enrolled in Medicare?

Yes. Jose Zambrana 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.

Which organizations bill Medicare for Jose Zambrana Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Zambrana Rivera reassigns Medicare benefits to 2 organizations: Med Centro, Inc. (Penuelas, PR) and Zrmedcare, LLC (Penuelas, PR). 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 Jose Zambrana Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Zambrana Rivera was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.