Dr. Rafael Antonio Rios Rivera, MD
- Medicare services, 2024
- 20
- Medicare patients, 2024
- 17
- Part D claims, 2024
- 2,255
- Industry payments
- $4,576
- Affiliated sites
- 1
- Practice address
- 1010 Paseo Del Veterano, Ponce, PR 00716-2001
- Practice phone
- Call (787) 492-0111
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Hospital Damas - Ponce (Paseo Del Veterano)
Primary care practice · Ponce, Puerto Rico
Find Dr. Rios Rivera's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Rafael Antonio Rios Rivera is a rheumatologist in Ponce, Puerto Rico
Dr. Rios Rivera practices at Hospital Damas - Ponce (Paseo Del Veterano) in Ponce, Puerto Rico.
Dr. Rios Rivera's NPI, 1366891590, was assigned on June 8, 2016. Dr. Rios Rivera holds Puerto Rico license 21761.
- NPI
- 1366891590NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5092175745
- NPI enumeration date
- June 8, 2016
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (787) 492-0111
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 37
- Medical school graduation
- 2015
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Rafael Antonio Rios Rivera practices at Hospital Damas - Ponce (Paseo Del Veterano) in Ponce, Puerto Rico
Dr. Rios Rivera's primary practice is Hospital Damas - Ponce (Paseo Del Veterano), at 1010 Paseo Del Veterano, Ponce, PR 00716-2001. The practice phone is (787) 492-0111.
- Hospital Damas - Ponce (Paseo Del Veterano)1010 Paseo Del Veterano, Ponce, PR 00716-2001Phone(787) 492-0111
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Rafael Antonio Rios Rivera is affiliated with 1 site of care and 1 medical group
Dr. Rios Rivera's primary practice is Hospital Damas - Ponce (Paseo Del Veterano) in Ponce, Puerto Rico. The medical group on file is Hospital Damas.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Dr. Rafael Antonio Rios Rivera's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Rios Rivera practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Hospital Damas - Ponce (Paseo Del Veterano) | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Rafael Antonio Rios Rivera is one of 74 rheumatologists in Puerto Rico
Rheumatology is Dr. Rios Rivera's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Rios Rivera is licensed in Puerto Rico.
Specialties and state licenses
- Rheumatology, Puerto RicoPrimary
Rheumatologists near Dr. Rios Rivera
Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Rafael Antonio Rios Rivera billed Medicare for 20 services in 2024
CMS data shows 20 Medicare services from Dr. Rios Rivera across 1 procedure code in 2024, all of them office visits, for 17 Medicare patients. Medicare paid $1,194 for them. Every service was in an office.
Dr. Rios Rivera compared with the Puerto Rico median for rheumatologists, 2024
- Dr. Rios Rivera
- Puerto Rico median
- Medicare services
- 20vs 5866% below
- Medicare patients
- 17vs 3247% below
- Part D claims
- 2,085vs 3,73044% below
Medians across 78 rheumatologists in Puerto Rico with Dmand AI profiles that report each measure.
Dr. Rios Rivera's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Rios Rivera and other rheumatologists in Puerto Rico.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Rafael Antonio Rios Rivera treated 17 Medicare patients in 2024, average age 73
CMS counts 17 Medicare patients who saw Dr. Rios Rivera in 2024. 75% of them have arthritis, and 75% have high blood pressure. Their average risk score is 1.13, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Rios Rivera's median patient age at 61, with 100% women.
Chronic conditions among Dr. Rios Rivera's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
Share of Medicare patients with each condition. A patient can have several.
Dr. Rios Rivera's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 61
Patient panel by sex, all payers
- Women100%
- Men0%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Rafael Antonio Rios Rivera wrote 2,255 Medicare Part D claims in 2024
In 2024, Dr. Rios Rivera wrote 2,255 Medicare Part D claims for 300 patients. 85% of them were for generic drugs. CMS names the drug for 2,085 of them, across 34 drugs with 11 or more claims each, at $1,335,366 in total drug cost. In 2023, CMS named 150 claims across 6 drugs.
Dr. Rios Rivera's Part D claims by kind of drug, 2024
- Generic1,928 claims85%
- Brand-name327 claims15%
Dr. Rios Rivera's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Rios Rivera's Part D claims, 2024
- Antibiotics1%14 of 2,255 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1502024: 2,0851290%
Drugs named by CMS: 34 in 2024, 6 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Dr. Rafael Antonio Rios Rivera takes part in Medicare
Dr. Rios Rivera accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Rafael Antonio Rios Rivera received $4,576 in industry payments from 2017 to 2025
CMS Open Payments shows 87 general payments to Dr. Rios Rivera from 17 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 62% of the total. Abbvie Inc. paid the most, $2,391.
General payments to Dr. Rios Rivera by program year, 2017 to 2025
General payments to Dr. Rios Rivera by kind, 2017 to 2025
- Food and beverage$2,84562%
- Consulting fees$1,70037%
- Travel and lodging$311%
Companies that paid Dr. Rios Rivera the most, 2017 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Dr. Rafael Antonio Rios Rivera's profile data
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Rafael Antonio Rios Rivera
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What is Dr. Rafael Antonio Rios Rivera's NPI number?
Dr. Rafael Antonio Rios Rivera's NPI number is 1366891590. It was assigned on June 8, 2016, and it is active in the NPI Registry.
What kind of doctor is Dr. Rafael Antonio Rios Rivera?
Dr. Rafael Antonio Rios Rivera is a rheumatologist in Ponce, Puerto Rico. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).
Where does Dr. Rafael Antonio Rios Rivera practice?
Dr. Rios Rivera practices at 1010 Paseo Del Veterano, Ponce, PR 00716-2001. Dr. Rios Rivera's primary practice is Hospital Damas - Ponce (Paseo Del Veterano) in Ponce, Puerto Rico.
What is Dr. Rafael Antonio Rios Rivera's office phone number?
The practice phone on file for Dr. Rios Rivera is (787) 492-0111.
What is Dr. Rafael Antonio Rios Rivera's medical license number?
Dr. Rios Rivera holds Puerto Rico license 21761.
What medical group is Dr. Rafael Antonio Rios Rivera part of?
Dr. Rios Rivera is linked to Hospital Damas.
Does Dr. Rafael Antonio Rios Rivera accept Medicare?
Yes. CMS data shows Dr. Rios Rivera billed Medicare for 20 services in 2024, and Dr. Rios Rivera accepts Medicare assignment.
How many Medicare patients does Dr. Rafael Antonio Rios Rivera see?
CMS counts 17 Medicare patients who saw Dr. Rios Rivera in 2024, with an average age of 73.
What services does Dr. Rafael Antonio Rios Rivera bill to Medicare?
In 2024, Dr. Rios Rivera's most billed Medicare services were office visit, established patient (99213).
What drugs does Dr. Rafael Antonio Rios Rivera prescribe most?
In 2024 Medicare Part D data, Dr. Rios Rivera's most prescribed drugs by claims were Methotrexate, Prednisone and Gabapentin.
Has Dr. Rafael Antonio Rios Rivera received payments from drug or device companies?
CMS Open Payments shows $4,576 in general payments to Dr. Rios Rivera from 17 companies from 2017 to 2025. The largest total came from Abbvie Inc.
How long has Dr. Rafael Antonio Rios Rivera been practicing?
Dr. Rios Rivera graduated from medical school in 2015, 11 years ago.
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