Carmen C De Jesus Rivera, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

6955 Issued in PR

Practice address

765 Ave San Patricio
Urb. Las Lomas
San Juan, PR 00921-1302

Phone

(787) 782-3870

Fax

(787) 708-1354

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grupo Pediatrico San Patricio

  • Specialist
  • San Juan, PR
  • NPI 1831314145
  NPD (past)
• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023021581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 CALLE REY LUIS",
            "address_2": "LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693170",
            "telephone_number": "787-782-3870",
            "fax_number": "787-708-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 AVE SAN PATRICIO",
            "address_2": "URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211302",
            "telephone_number": "787-782-3870",
            "fax_number": "787-708-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS RIVERA",
        "first_name": "CARMEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "6955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NARCOTIC LICENCE",
            "identifier": "6163DM0",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "6955",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaias De Jesus Concepcion
• Paola De Jesus Martinez
• Jose R De Jesus Melendez, MD
• Jorge R De Jesus Miranda, MD
• Nelson De Jesus Ramos, M.D.
• Edgar Alexis De Jesus Rodriguez, MD
• Evony Coral De Jesus Santa
• Ileana De Jesus Santiago, PH.D.
• Maria Angelica De Jesus Sosa, PT, DPT
• Stephanie I. De Jesus Soto, RN

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.