Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renato Luis Rivera, MD

Individual provider Family Medicine Physician · NPI 1760565113

Renato Luis Rivera, MD is a Family Practice in San Juan, Puerto Rico. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
22
Licensed in
PR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

168 Calle Guanajibo Crown Hls
San Juan, PR 00926-6003
Phone: (787) 763-5624

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16671 (PR)
General Practice Physician Taxonomy 208D00000X · Licence 16671 (PR)

Record details

NPI number1760565113
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 21, 2006
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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