Individual provider Active NPI

Jorge Rivera, M.D.

  • Internal Medicine Physician
  • Guanica, PR
National Provider Identifier
1285626408
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11818 Issued in PR
Practice address
26 Calle Yaguer
Guanica, PR 00653
Phone
(787) 821-5258
Fax
(787) 821-3116
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11818 PR Primary

Addresses

Primary practice location

26 Calle Yaguer
Guanica, PR 00653

Mailing address

PO Box 1256
Guanica, PR 00653-1256
Phone (787) 821-5258

Other identifiers 1

IdentifierTypeStateIssuer
11818OtherPRLICENCE

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
I20070802000460 PR Practitioner - Internal Medicine 1153412309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ramal Carr 116 KM
Suite 2
Guanica, PR 00653
Phone (787) 821-5258

Hospital & facility affiliations

  • Hospicio la Paz Inc Hospice, Arecibo, PR, CCN 401527
  • Hospital Pavia Yauco Hospital, Yauco, PR, CCN 400110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11818PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Rivera Torres MD PSC Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

26 Calle Yaguer
Guanica, PR 00653
Phone (787) 821-5258

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1285626408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1256",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006531256",
            "telephone_number": "787-821-5258",
            "fax_number": "787-821-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE YAGUER",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "00653",
            "telephone_number": "787-821-5258",
            "fax_number": "787-821-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "11818",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guanica, PR

Sources for this page

Verify at the official NPI Registry.