Morayma Enid Rivera Nieves, MD is a medicare enrolled "General Practice" in San Juan, Puerto Rico. Her current practice location is
371 Calle De Diego, San Juan, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 767-5100.
Morayma Enid Rivera Nieves is licensed to practice in Puerto Rico (license number 23020) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396368619.
Provider's Profile
| Full Name | Morayma Enid Rivera Nieves |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 371 Calle De Diego, San Juan, 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: 1396368619
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 10/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365812369
- Enrollment ID: I20230109002747
Medical Identifiers
Medical identifiers for Morayma Enid Rivera Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396368619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 491 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | 23020 (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. Morayma Enid Rivera Nieves allows following entities to bill medicare on her behalf.
| Entity Name | Cossma Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437235793
PECOS PAC ID: 8921007352
Enrollment ID: O20061213000362 |
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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. Morayma Enid Rivera Nieves 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 |
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Morayma Enid Rivera Nieves, MD
Condominio Las Teresas, Apart. 3-f Calle Azabache 901,
San Juan, PUERTO RICO 00924
Ph: () - | Morayma Enid Rivera Nieves, MD
371 Calle De Diego,
San Juan, PR 00923-3002
Ph: (787) 767-5100 |
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