Active NPI
Jose Angel Rivera, M.D.
- Obstetrics & Gynecology Physician
- Ponce, PR
National Provider Identifier
1295758043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12389
- Practice address
- 8122 Calle Concordia
Ponce, PR 00732-8883 - Phone
- (787) 844-3569
- NPI assigned
- Jul 25, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12389 | PR | Primary |
Addresses
Primary practice location
8122 Calle Concordia
Ponce, PR 00732-8883
Mailing address
PO Box 8883
Ponce, PR 00732-8883
Phone (787) 844-3569
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12612389 | Other | PR | GLOBAL HEALTH |
| 060683 | Other | PR | CRUZ AZUL DE PR |
| 209420 | Other | PR | PREFERRED HEALTH |
| 89564 | Other | PR | TRIPLE SSS |
| 2271 | Other | PR | FIRST MEDICAL |
| 1227 | Other | PR | AMERICAN HEALTH |
| 4112 | Other | PR | PREFERRED MEDICARE CHOICE |
| 600735 | Other | PR | MEDICARE Y MUCHO MAS |
| 7310340 | Other | PR | HUMANA HEALTH PLAN |
| 7310340 | Other | PR | HUMANA INSURANCE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080521000931 | PR | Practitioner - Obstetrics/Gynecology | 0244309896 | Practice locations: Guaynabo, PR; San Juan, PR; Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12389 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Departamento de Salud | Past | Accepting new patients | |
| Instituto Medico del Norte Inc | Past | Accepting new patients | |
| Asociacion Hospital del Maestro Inc | Past | Accepting new patients | |
| Metro Hato Rey Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1750385571
-
- General Acute Care Hospital
- Bayamon, PR
- NPI 1992724140
-
- General Acute Care Hospital
- Vega Baja, PR
- NPI 1154309169
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1750346151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1295758043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8883",
"city": "PONCE",
"state": "PR",
"postal_code": "007328883",
"telephone_number": "787-844-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8122 CALLE CONCORDIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007328883",
"telephone_number": "787-844-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JOSE",
"middle_name": "ANGEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "12389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH",
"identifier": "12612389",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DE PR",
"identifier": "060683",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH",
"identifier": "209420",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE SSS",
"identifier": "89564",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "2271",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "1227",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "4112",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "600735",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA HEALTH PLAN",
"identifier": "7310340",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "7310340",
"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 Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.