Johnattan Rivera-Devarie

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

3172 Issued in PR

Practice address

99 Calle Guillermo Riefkhol
Patillas, PR 00723

Phone

(787) 839-4320

Fax

(787) 271-0004

NPI assigned

Oct 11, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1003458092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230697",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-DEVARIE",
        "first_name": "JOHNATTAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "PR",
            "license": "3172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRY NUMBER",
            "identifier": "122341",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "j.devarie51@yahoo.com",
            "affiliation": "N",
            "address_1": "99 CALLE GUILLERMO RIEFKHOL",
            "city": "PATILLAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aitza B Rios, M.D.
• Maria Rios
• Saniely Rivera Camacho
• Nalyssa I Rivera Cora, MD
• Davey Rivera Torres, MLS
• Olga Rivera-Rodriguez
• Janet Rivera, DDS
• Rosa D. Rivera, D.M.D.
• Sidney Rivera
• Alejandra Rodriguez Lueje, M.D.

• Radiologic Technologist in Patillas, PR
• Providers in Patillas, PR by specialty
• Radiologic Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.