Individual provider Active NPI

Jhomarie Rivera-Perez, MD

  • Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1265526271
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16443 Issued in PR
Practice address
2162 Ave Las Americas
Ponce, PR 00717-0722
Phone
(787) 840-1110
Fax
(787) 840-0003
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 16443 PR Primary

Addresses

Primary practice location

2162 Ave Las Americas
Ponce, PR 00717-0722

Mailing address

PO Box 8202
Ponce, PR 00732-8202
Phone (787) 840-1110

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
I20070212000529 PR Practitioner - Psychiatry 9739181256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ponce School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandr Behavioral Associates PSCGroup PAC ID 9032215983, 2 clinicians

Practice addresses (Care Compare)

2162 Blvd Luis a Ferre
Ponce, PR 00717-0722
Phone (787) 840-1110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16443PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A&R Behavioral Associates PSC Psychiatry CurrentSince Nov 1, 2007 Accepting new patients
Ponce Medical School Foundation Inc Past Accepting new patients

Locations

2162 Blvd Luis a Ferre
Ponce, PR 00717
Phone (787) 840-1110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265526271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328202",
            "telephone_number": "787-840-1110",
            "fax_number": "787-840-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170722",
            "telephone_number": "787-840-1110",
            "fax_number": "787-840-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-PEREZ",
        "first_name": "JHOMARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "16443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.