NPPES file of Aug 9, 2026

Evelyn M. Fonseca Rivera, M.D.

Hematology & Oncology Physician · Caguas, PR

Evelyn M. Fonseca Rivera, M.D. is a hematology & oncology physician with a practice address in Caguas, Puerto Rico, and NPI 1659398949, issued on Jul 16, 2006. Check the license (Puerto Rico 9601, as entered in NPPES) with the Puerto Rico board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1659398949
Name
Evelyn M. Fonseca Rivera
Credential
M.D.
Primary taxonomy
Hematology & Oncology Physician 207RH0003X
License number
9601 PR
Self-reported in NPPES; status is on the state search
Practice location
Hospital Hima Caguas Piso G Avenida Luis Munoz Marin, Caguas, PR 00725
Phone
(787) 744-8686
Enumerated
Jul 16, 2006
Record last updated
Jun 8, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(787) 258-1125
Medicare enrollment
Enrolled (PECOS I20070517000601); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Evelyn M. Fonseca Rivera in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Puerto Rico board licenses this profession
    Search for license 9601
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Puerto Rico license search

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19% more Medicare Part D claims than the average hematology & oncology physician in 2024

1,046 Medicare Part D claims for 209 beneficiaries, against an average of 877 among the 10,784 providers of this specialty who prescribed in Part D. 42 claims were for opioids.

  1. Evelyn Fonseca Rivera1,046
  2. Specialty average877

Most prescribed

  1. Revlimid67 claims
  2. Hydroxyurea62 claims
  3. Dexamethasone58 claims
  4. Anastrozole54 claims
  5. Gabapentin54 claims
  6. Everolimus38 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 70.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score39.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%99.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $3,271.32

133 payments; by number, the most common kind was food and beverage; the largest payer was E.R. Squibb & Sons, L.L.C. The 8,560 providers of this specialty with any payment received $7,481.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Evelyn Fonseca Rivera$3,271.32
  2. Specialty average$7,481.41

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Advanced Hematology And Oncology OF Puerto RicoCaguas, PR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Evelyn M. Fonseca Rivera among 134 hematology & oncology physician records in Puerto Rico

Evelyn M. Fonseca Rivera, M.D. is one of 134 hematology & oncology physician records with a practice address in Puerto Rico. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.

  • NPI issued2006 · 16% of these records are older, 51% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated1983 · median 2001 among the 98 with a school on file
  • Record last updated2018 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RH0003X and a Puerto Rico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hematology & Oncology Physician providers in Puerto Rico

There are 134 hematology & oncology physician records in Puerto Rico.

The 8 hematology & oncology physician records with the nearest ZIP codes

  1. Yazmin Corujo Sanchez, MDCaguas, PR 007251265564694
  2. Aitsa Jimenez Velez, MDCaguas, PR 007251891731675
  3. Marvin Matta Rivera, M.DCaguas, PR 007251629357488
  4. Edgardo Rodriguez Monge, MDCaguas, PR 007251982736146
  5. Juan Cintron Lopez, M.D.Caguas, PR 007261205862125
  6. Maribel Cotto, M.D.Caguas, PR 007261730348384
  7. Muay Hernandez Pons, MDCaguas, PR 007261003251224
  8. Carlos Mendez Serrano, MDCaguas, PR 007261861541914

Common questions

What is Evelyn M. Fonseca Rivera, M.D.'s NPI number?

Evelyn M. Fonseca Rivera, M.D.'s National Provider Identifier (NPI) is 1659398949, issued on Jul 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Evelyn M. Fonseca Rivera, M.D. located?

The NPPES record lists a practice address at Hospital Hima Caguas Piso G Avenida Luis Munoz Marin, Caguas, PR, 00725. Phone: (787) 744-8686. Providers update this record themselves, so call before visiting.

How can I verify Evelyn M. Fonseca Rivera, M.D.'s license?

NPPES lists Puerto Rico license number 9601, as entered by the provider. Search the Puerto Rico board that licenses this profession; the NPPES record confirms identity only.

How much does Evelyn M. Fonseca Rivera, M.D. prescribe under Medicare Part D?

In 2024, Evelyn M. Fonseca Rivera, M.D. had 1,046 Medicare Part D claims for 209 beneficiaries; the average among hematology & oncology physician prescribers was 877. Part D covers Medicare prescriptions only.

What is Evelyn M. Fonseca Rivera, M.D.'s MIPS final score?

The 2023 MIPS final score is 70.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.