NPPES file of Aug 9, 2026

Mariela Melissa Rivera Agosto, MD

Pulmonary Disease Physician · San Juan, PR

Mariela Melissa Rivera Agosto, MD is a pulmonary disease physician with a practice address in San Juan, Puerto Rico, and NPI 1407278484, issued on Jan 10, 2014. Check the license (Puerto Rico 19843, 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 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407278484
Name
Mariela Melissa Rivera Agosto
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
19843 PR
Self-reported in NPPES; status is on the state search
Practice location
VA Caribbean Healthcare System, San Juan, PR 00921
Phone
(787) 641-2975
Enumerated
Jan 10, 2014
Record last updated
Apr 30, 2024
Medicare enrollment
Enrolled (PECOS I20211123000798); 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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Also registered at VA Caribbean Healthcare System

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeanlouis Betancourt Gaztambide, PHARMDStudent in an Organized Health Care Education/Training Program1366154973
  2. William Caceres, MDHematology & Oncology Physician1518910801
  3. Karla Colon, M.D.Hospitalist Physician1659521995
  4. Andrew Engel-Rodriguez, MDGeneral Practice Physician1558903187
  5. Carrie Gibson, RD, LND, M. EDRegistered Dietitian1225333180
  6. Rosa Ana Maeso, ODOptometrist1881627917

Verify Mariela Melissa Rivera Agosto 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 19843
    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

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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96% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

60 Medicare Part D claims for 11 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 67% of claims.

  1. Mariela Rivera Agosto60
  2. Specialty average1,425

Most prescribed

  1. Fluticasone Propionate Hfa15 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.

Industry payments in 2024: $67.57

2 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Mariela Rivera Agosto$67.57
  2. Specialty average$5,159.88

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. Salud Integral EN LA Montana IncNaranjito, PR

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

Mariela Melissa Rivera Agosto among 135 pulmonary disease physician records in Puerto Rico

Mariela Melissa Rivera Agosto, MD is one of 135 pulmonary disease physician records with a practice address in Puerto Rico. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 85% of them.

  • NPI issued2014 · 85% of these records are older, 12% newer
  • In a Medicare fileYes · 92% of these records are
  • In the CMS Doctors and Clinicians fileYes · 87% of these records are
  • Graduated2021 · median 1998 among the 116 with a school on file
  • Record last updated2024 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Puerto Rico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Puerto Rico

There are 135 pulmonary disease physician records in Puerto Rico.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Jesus Casal, MDSan Juan, PR 009211477583144
  2. Francisco Del Olmo Arroyo, MDSan Juan, PR 009211275763195
  3. Claudia Quiles Cruz, MDSan Juan, PR 009211952895757
  4. William Rodriguez, MDSan Juan, PR 009211396777033
  5. Ruben Rodriguez-Perez, MDSan Juan, PR 009211508971128
  6. Alfonso Torres-Palacios, M.D.San Juan, PR 009211578591624
  7. Jose Ramirez Rivera, MDSan Juan, PR 009201245352434
  8. Hector Stella Estevez, MDSan Juan, PR 009201467422162

Common questions

What is Mariela Melissa Rivera Agosto, MD's NPI number?

Mariela Melissa Rivera Agosto, MD's National Provider Identifier (NPI) is 1407278484, issued on Jan 10, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Mariela Melissa Rivera Agosto, MD located?

The NPPES record lists a practice address at VA Caribbean Healthcare System, San Juan, PR, 00921. Phone: (787) 641-2975. Providers update this record themselves, so call before visiting.

How can I verify Mariela Melissa Rivera Agosto, MD's license?

NPPES lists Puerto Rico license number 19843, as entered by the provider. Search the Puerto Rico board that licenses this profession; the NPPES record confirms identity only.

How much does Mariela Melissa Rivera Agosto, MD prescribe under Medicare Part D?

In 2024, Mariela Melissa Rivera Agosto, MD had 60 Medicare Part D claims for 11 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

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.