NPIMap

Individual provider Active NPI

Jorge O Rivera Rivera, MD

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1114765856
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023985 Issued in PR
Practice address
Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719-0515
Phone
(787) 869-1290
Fax
(787) 869-1800
NPI assigned
Jul 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 023985 PR Primary

Addresses

Primary practice location

Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719-0515

Mailing address

PO Box 515
Naranjito, PR 00719-0515
Phone (787) 869-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240907000058 PR Practitioner - General Practice 0648710442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana Inc 64 clinicians

Practice addresses (Care Compare)

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782-2539
Phone (787) 875-3375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023985PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc Multi-Specialty Current Accepting new patients
Salud Integral En la Montana, Inc. Multi-Specialty CurrentSince Aug 20, 2024 Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty CurrentSince Aug 20, 2024 Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty Current Accepting new patients
Salud Integral En la Montana, Inc Multi-Specialty CurrentSince Aug 20, 2024 Accepting new patients

Locations

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1114765856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190515",
            "telephone_number": "787-869-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 164 SECTOR EL DESVIO",
            "address_2": "BO ACHIOTE",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190515",
            "telephone_number": "787-869-1290",
            "fax_number": "787-869-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "JORGE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "023985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.