Individual provider Active NPI

Jose J Rivera Esparra, MD

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1356314652
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14200 Issued in PR
Practice address
623 Ave la Ceiba
Rovira Office Partk Suite 403
Ponce, PR 00717-0000
Phone
(787) 973-0010
Fax
(787) 973-0011
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 14200 PR Primary

Addresses

Primary practice location

623 Ave la Ceiba
Rovira Office Partk Suite 403
Ponce, PR 00717-0000

Mailing address

5005 Constancia Urb Hdas del Monte
Coto Laurel, PR 00780-0000
Phone (787) 973-0010

Other identifiers 1

IdentifierTypeStateIssuer
14200OtherPRLICENCIA

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
I20040929000758 PR Practitioner - Internal Medicine 0941279640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

623 Ave la Ceiba
Ponce, PR 00717-1902
Phone (787) 973-0010

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14200PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jjre Health Services LLC Internal Medicine CurrentSince Nov 29, 2017 Accepting new patients

Locations

623 Ave La Ceiba
Ofc Park
Ponce, PR 00717
Phone (787) 242-6225

623 Ave La Ceiba
Ofc
Ponce, PR 00717
Phone (787) 973-0010

623 Ave La Ceiba
Ste 103
Ponce, PR 00717
Phone (787) 813-2712

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 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1356314652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 CONSTANCIA URB HDAS DEL MONTE",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800000",
            "telephone_number": "787-973-0010",
            "fax_number": "787-842-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 AVE LA CEIBA",
            "address_2": "ROVIRA OFFICE PARTK SUITE 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170000",
            "telephone_number": "787-973-0010",
            "fax_number": "787-973-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ESPARRA",
        "first_name": "JOSE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "14200",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.