Juan Rivera, is a medicare enrolled "General Practice" in Bayamon, Puerto Rico. His current practice location is
C17 Calle Marginal, Bayamon, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 786-4600.
Juan Rivera is licensed to practice in Puerto Rico (license number 23811) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962010546.
Provider's Profile
| Full Name | Juan Rivera |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | C17 Calle Marginal, Bayamon, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962010546
- Provider Enumeration Date: 07/20/2020
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395278923
- Enrollment ID: I20241104002519
Medical Identifiers
Medical identifiers for Juan Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962010546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 538 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | 23811 (Puerto Rico) | Primary |
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. Juan Rivera allows following entities to bill medicare on his behalf.
| Entity Name | Clinica Las Americas Guaynabo, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326096058
PECOS PAC ID: 3476504077
Enrollment ID: O20050201000414 |
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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. Juan Rivera 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 Address | Practice Location Address |
|---|
Juan Rivera,
Hc 3 Box 7317,
Canovanas, PR 00729-9711
Ph: () - | Juan Rivera,
C17 Calle Marginal,
Bayamon, PR 00961-6706
Ph: (787) 786-4600 |
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