Individual provider Active NPI

Jose L. Nieves-Rivera, MD

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1033138607
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
16014 Issued in PR
Practice address
735 Ponce de Leon Ave. Torre Medica Auxilio Mutuo
Suite 615
San Juan, PR 00917
Phone
(787) 765-3300
Fax
(787) 765-3304
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 16014 PR Primary

Addresses

Primary practice location

735 Ponce de Leon Ave. Torre Medica Auxilio Mutuo
Suite 615
San Juan, PR 00917

Mailing address

1485 Ashford Ave Cond St Marys Plaza
Apt 403-2
San Juan, PR 00907
Phone (787) 765-3300

Other practice location 1

29 Washington St Ashford Medical
Suite 403
San Juan, PR 00907
Phone (787) 722-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000864 PR Practitioner - NephrologyPractitioner - Internal Medicine 0840325676 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Juan Nephrology PSCGroup PAC ID 8820266463, 4 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 765-3300

735 Ave Ponce de Leon
San Juan, PR 00917-5029
Phone (787) 765-3300

735 Torre Medica Auxilio Mutuo
Suite 615 Ave Ponce de Leon
San Juan, PR 00917-5022

Hospital & facility affiliations

  • FMC Rio Piedras Dialysis facility, Rio Piedras, PR, CCN 402515
  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001
  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
  • Hospital San Francisco Hospital, San Juan, PR, CCN 400098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Nephrology P.S.C. Nephrology CurrentSince Jan 23, 2011 Accepting new patients
JLN Nephrology Nephrology CurrentSince Jan 14, 2014 Accepting new patients
Nova Nephrology PSC Nephrology Past Accepting new patients
Rtroche Nephrology PSC Nephrology Past Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 615
San Juan, PR 00917
Phone (787) 507-3607

Organizations & group practices 4

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1033138607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 ASHFORD AVE COND ST MARYS PLAZA",
            "address_2": "APT 403-2",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE. TORRE MEDICA AUXILIO MUTUO",
            "address_2": "SUITE 615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-765-3300",
            "fax_number": "787-765-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Washington St Ashford Medical",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "country_code": "US",
            "telephone_number": "787-722-6350",
            "fax_number": "787-722-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES-RIVERA",
        "first_name": "JOSE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "16014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.