Active NPI
Jose E. Garcia-Rivera, M.D.
- Surgery Physician
- Guayama, PR
National Provider Identifier
1174910251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21944
- Practice address
- Avenida Pedro Albizu Campos
Urbanizacion la Hacienda
Guayama, PR 00785 - Phone
- (787) 864-4300
- NPI assigned
- Apr 16, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 32676 | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 21944 | PR | Primary |
Addresses
Primary practice location
Avenida Pedro Albizu Campos
Urbanizacion la Hacienda
Guayama, PR 00785
Mailing address
Avenida Pedro Albizu Campos
Urbanizacion la Hacienda
Guayama, PR 00785
Phone (787) 864-4300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32676 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mennonite General Hospital Inc | Single Specialty | Current | Accepting new patients |
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Mennonite General Hospital Inc. | Current | Accepting new patients | |
| Hospital Menonita Guayama Inc | Past | Accepting new patients |
Interoperability endpoints
- jose.garciarivera.p1@direct.vitacare.nextgenshare.com
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.
-
- General Acute Care Hospital
- Aibonito, PR
- NPI 1851320394
Single Specialty
-
- Specialist
- Aibonito, PR
- NPI 1043347768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1144099813
-
- Critical Access Hospital
- Guayama, PR
- NPI 1639696289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1174910251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVENIDA PEDRO ALBIZU CAMPOS",
"address_2": "URBANIZACION LA HACIENDA",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00785",
"telephone_number": "787-864-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA PEDRO ALBIZU CAMPOS",
"address_2": "URBANIZACION LA HACIENDA",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00785",
"telephone_number": "787-864-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA-RIVERA",
"first_name": "JOSE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2020-10-06",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "32676",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PR",
"license": "21944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.