Dr Gerardo Rivera Roman, MD - Medicare Hospitalist in San Sebastian, PR

Dr Gerardo Rivera Roman, MD is a medicare enrolled "Internal Medicine" physician in San Sebastian, Puerto Rico. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Sentara Medical Group and his current practice location is Carr 111 Bo Pozas, Km 15.3, San Sebastian, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (939) 579-6349.

Dr Gerardo Rivera Roman is licensed to practice in Virginia (license number 0101259841) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033461934.

Contact Information

Dr Gerardo Rivera Roman, MD
Carr 111 Bo Pozas, Km 15.3,
San Sebastian, PR 00685-7005
(939) 579-6349
Not Available

Map and Direction




Physician's Profile

Full NameDr Gerardo Rivera Roman
GenderMale
SpecialityHospitalist
Experience16 Years
LocationCarr 111 Bo Pozas, San Sebastian, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gerardo Rivera Roman graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1033461934
  • Provider Enumeration Date: 10/03/2012
  • Last Update Date: 10/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0547407975
  • Enrollment ID: I20160810000521

Medical Identifiers

Medical identifiers for Dr Gerardo Rivera Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033461934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101259841 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Careplex HospitalHampton, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sentara Medical Group89219039231091

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gerardo Rivera Roman allows following entities to bill medicare on his behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameRivera -soto Medical Group Internal Medicine Specialist
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255781977
PECOS PAC ID: 3072807437
Enrollment ID: O20160808000905

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gerardo Rivera Roman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gerardo Rivera Roman, MD
4000 Coliseum Dr, Ste 445,
Hampton, VA 23666-5981

Ph: (787) 340-8175
Dr Gerardo Rivera Roman, MD
Carr 111 Bo Pozas, Km 15.3,
San Sebastian, PR 00685-7005

Ph: (939) 579-6349

Reviews and Comments


Internal Medicine Doctors in San Sebastian, PR

Carlos Ramos, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Carr 111 Km 22.8, Bo. Piedras Blancas, San Sebastian, PR 00685
Phone: 787-280-3398    Fax: 787-896-0230
Dr. Erick G. Nieves Rivera, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 32 Calle Jesus T Pinero, San Sebastian, PR 00685
Phone: 787-280-2600    Fax: 787-280-3611
Zaydalee Cardona Rodriguez,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Hc 6 Box 17376, San Sebastian, PR 00685
Phone: 787-658-0000    
Dr. Confesor Lasalle-ruiz, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 66 Calle Mj Cabrero, San Sebastian, PR 00685
Phone: 787-896-7000    Fax: 787-896-7100
Mrs. Olga E Guzman Guzman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Calle Pavia Fernandez, San Sebastian, PR 00685
Phone: 787-872-0707    Fax: 787-280-0707
Steven Roman Gonzalez, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Calle Hostos #5 Bajos, Oficina 4, San Sebastian, PR 00685
Phone: 787-896-6162    Fax: 787-896-6162

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.