Active NPI
Wigie Rivera Joubert
- Naturopath
- San Juan, PR
National Provider Identifier
1154939130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0000179
- Practice address
- Urb Country Club
797
San Juan, PR 00924 - Phone
- (939) 218-5848
- NPI assigned
- Jul 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 0000179 | PR | Primary |
Addresses
Primary practice location
Urb Country Club
797
San Juan, PR 00924
Mailing address
PO Box 43002
Rio Grande, PR 00745-6601
Phone (939) 218-5848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4583516 | Medicaid | PR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wichin84@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000179 | PR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tu Salud Al Natural LLC. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Worker
- San Juan, PR
- NPI 1275292278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1154939130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43002",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007456601",
"telephone_number": "939-218-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB COUNTRY CLUB",
"address_2": "797",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "939-218-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOUBERT",
"first_name": "WIGIE",
"middle_name": "RIVERA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "PR",
"license": "0000179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4583516",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wichin84@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "Urb Country club",
"address_2": "797",
"city": "san juan",
"state": "PR",
"country_code": "US",
"postal_code": "00924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.