Individual provider Active NPI

Jose G Rivera Guilbe, M.D.

  • General Practice Physician
  • Coamo, PR
National Provider Identifier
1255307070
Registry record updated Apr 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11465 Issued in PR
Practice address
30 Calle Florencio Santiago
Coamo, PR 00769-3260
Phone
(787) 803-4659
Fax
(787) 825-2296
NPI assigned
Feb 23, 2006
Last updated
Apr 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11465 PR Primary

Addresses

Primary practice location

30 Calle Florencio Santiago
Coamo, PR 00769-3260

Mailing address

PO Box 440
#30 Florencio Santiago
Coamo, PR 00769-0440
Phone (787) 825-2296

Other practice location 1

PR 5510, KM 0.1
La Cuarta
Mercedita, PR 00715
Phone (787) 837-6837

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
I20040902000393 PR Practitioner - General Surgery 4981670882 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coamo Health Institute CurrentSince Oct 1, 2011 Accepting new patients
Rad Nucs LLC Past Accepting new patients
Yauco Healthcare Corporation Past Accepting new patients

Locations

30 Calle Florencio Santiago
Coamo, PR 00769
Phone (787) 803-4659

5 Calle Carrion Maduro N
Coamo, PR 00769

5 Calle Carrion Maduro N
#C
Coamo, PR 00769
Phone (787) 803-4659

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1255307070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "address_2": "#30 FLORENCIO SANTIAGO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690440",
            "telephone_number": "787-825-2296",
            "fax_number": "939-732-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE FLORENCIO SANTIAGO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693260",
            "telephone_number": "787-803-4659",
            "fax_number": "787-825-2296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PR 5510, KM 0.1",
            "address_2": "LA CUARTA",
            "address_purpose": "LOCATION",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "00715",
            "country_code": "US",
            "telephone_number": "787-837-6837",
            "fax_number": "939-201-8086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA GUILBE",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

Verify at the official NPI Registry.