Waldemar Rafael Rivera Jimenez, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15969 Issued in PR

Practice address

1 Calle Tomas Davila
Barceloneta, PR 00617-2736

Phone

(787) 846-6890

NPI assigned

Apr 20, 2006

Last updated

Oct 26, 2010By the provider in NPPES

Sex

Male

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• 681 Medical Services

  • General Practice Physician
  • Barceloneta, PR
  • NPI 1013795376
  Medicare reassignment NPD Authorized official
• Dr. Gil Maldonado Manzanet, CSP

  • Multi-Specialty Clinic/Center
  • Barceloneta, PR
  • NPI 1235533365
  Medicare reassignment NPD
• Dr. Gil Maldonado Manzanet, CSP

  • Health Service Clinic/Center
  • Barceloneta, PR
  • NPI 1497577985
  NPD
• TMG Medical Group CSP

  • Clinical Medical Laboratory
  • Barceloneta, PR
  • NPI 1659553931
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1215992276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170359",
            "telephone_number": "787-846-4447",
            "fax_number": "787-970-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE TOMAS DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172736",
            "telephone_number": "787-846-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA JIMENEZ",
        "first_name": "WALDEMAR",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "15969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "23836RI",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jailene Reyes Vargas
• Amarilys Reyes
• Felipe Reyes, PSY.D.
• Liselie Reyes
• Nicolmari Negron Rios
• Angel Edgardo Rivera Negron Sr., M.D.
• Vilmarie Rivera Ocasio, MS, PHL
• Luis Daniel Rivera Otero
• Kiara Rivera Rios, PHARMD
• Kritzianel Rivera Soto

• Specialist in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.

Verify at the official NPI Registry.