Individual ProviderEdgar Rivera MartinezGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressCalle Jose C Vazquez, Edificio Profesional Oficina 202 Hospital Menonita, Aibonito, PR 00705(787) 735-7110PECOS EnrollmentBased on the most recent information from CMS, provider Edgar Rivera Martinez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972576049Provider TypeIndividualFull NameRivera Martinez, EdgarCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date2/9/2006Last Updated11/4/2011Contact InformationPractice LocationPractice AddressCalle Jose C Vazquez, Edificio Profesional Oficina 202 Hospital Menonita, Aibonito, PR 00705Phone(787) 735-7110Fax(787) 991-3041Mailing LocationMailing AddressPO Box 2300, Pmb 21, Aibonito, PR 00705-2300Phone(787) 735-7110Fax(787) 991-3041Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense15031Puerto Rico