Active NPI
Jose Alberto Rivera-Rodriguez, MEDICINE DOCTOR
- Gastroenterology Physician
- San Juan, PR
National Provider Identifier
1265582068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4671
- Practice address
- 361 Sargento Luis Medina
Urb.Roosevelt
San Juan, PR 00918-3817 - Phone
- (787) 763-8216
- Fax
- (787) 294-1083
- NPI assigned
- Jan 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4671 | PR | Primary |
Addresses
Primary practice location
361 Sargento Luis Medina
Urb.Roosevelt
San Juan, PR 00918-3817
Mailing address
361 Sargento Luis Medina St.
Number 1
San Juan, PR 00918-3817
Phone (787) 763-8216
Other names 1
- Dr. Jose A. Rivera-Rodriguez
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4671 | PR | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265582068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 SARGENTO LUIS MEDINA ST.",
"address_2": "NUMBER 1",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183817",
"telephone_number": "787-763-8216",
"fax_number": "787-294-1083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 SARGENTO LUIS MEDINA",
"address_2": "URB.ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183817",
"telephone_number": "787-763-8216",
"fax_number": "787-294-1083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA-RODRIGUEZ",
"first_name": "JOSE",
"middle_name": "ALBERTO",
"name_prefix": "Dr.",
"credential": "MEDICINE DOCTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "4671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "RIVERA-RODRIGUEZ",
"middle_name": "A.",
"prefix": "DR.",
"credential": "MEDICINE DOCTOR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Juan, PR
- Glendalys Rivera-Reyes, PH.D.
- Anibal Rivera-Rivera, M.D
- Naiomi Rivera-Rivera, PHD
- Stephanie Rivera-Rivera
- Christopher Jose Rivera-Rodriguez, DMD, MPH, MSMS
- Mirelis Del Carmen Rivera-Rodriguez, MPT
- Noridza Rivera-Rodriguez
- Yovalery Rivera-Rodriguez
- Carmen M Rivera-Rosa, OPTICIAN
- Manuel Rivera-Santiago
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.