Rafael Jose Rivera
NPI 1003911264ActiveIndividual· Internal Medicine, Interventional Cardiology· Ponce, PR
Internal Medicine, Interventional Cardiology in Ponce, Puerto Rico, trained at University Central del Caribe Escuela de Medicina (class of 2003). Their prescriptions cost Medicare Part D more than their services did: $716,539 for 10,793 claims, against $9,443 paid for services in 2024. Medtronic, Inc. was the largest of 15 companies reporting payments in 2025, $1,653 in all, mostly food and beverage.
Overview
| NPI | 1003911264 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 13, 2006 |
| Last updated in NPPES | May 12, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | 16384 | PR |
| Internal Medicine | 207R00000X | 16384 | PR |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 16384 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 105 across 24 procedure codes |
| Paid by Medicare | $9,443 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,793 · 15,120 30-day fills |
|---|---|
| Patients | 1,026 |
| Total drug cost | $716,539 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | University Central del Caribe Escuela de Medicina |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Cardiovascular Disease (Cardiology) |
Hospital affiliation
- Hospital Episcopal San Lucas IIPonce, PR
Industry payments (Open Payments)
- 2025$1,653 · 59 payments from 15 companies
- 2024$1,368 · 56 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $315.22 | 10 |
| Edwards Lifesciences Corporation | $286.89 | 13 |
| Abbott Laboratories | $269.99 | 9 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $187.97 | 3 |
| Merck Sharp & Dohme LLC | $115.78 | 2 |
What the 2025 payments were for
- Food and Beverage$1,653 · 59 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All Internal Medicine, Interventional Cardiology providers in Puerto Rico →