Individual provider Active NPI

Jaser Rivera Rivera

  • General Practice Registered Nurse
  • Ponce, PR
National Provider Identifier
1255798443
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
70672 Issued in PR
Practice address
Carretera 1 KM 121.5
Box Calzeda
Ponce, PR 00731
Phone
(787) 848-2100
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 70672 PR
General Practice Registered Nurse 163WG0000X 70672 PR Primary
Rural Acute Care Hospital 282NR1301X 70672 PR

Addresses

Primary practice location

Carretera 1 KM 121.5
Box Calzeda
Ponce, PR 00731

Mailing address

Carretera 1 KM 121.5
Aeropuerto Mercedita Box Calzeda
Ponce, PR 00731
Phone (787) 929-6277

Other identifiers 1

IdentifierTypeStateIssuer
SP0003729OtherPRTRIPLE S

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
70672PRMDRural Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1255798443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 1 KM 121.5",
            "address_2": "AEROPUERTO MERCEDITA BOX CALZEDA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-929-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 1 KM 121.5",
            "address_2": "BOX CALZEDA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-848-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "JASER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PR",
            "license": "70672",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "70672",
            "primary": true
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PR",
            "license": "70672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "SP0003729",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.