Jose Angel Rivera Jimenez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16507 Issued in PR

Practice address

CM11 Calle 142
Carolina, PR 00983-3341

Phone

(787) 472-9876

NPI assigned

Dec 14, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1376350157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CM11 CALLE 142",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833341",
            "telephone_number": "787-472-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CM11 CALLE 142",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833341",
            "telephone_number": "787-472-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA JIMENEZ",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delmari Rivera Fernandez, O.D.
• Ismari Rivera Garcia
• Nayaret Rivera Garcia
• Keren Rivera Gonzalez, MD
• Vanessa Rivera Gonzalez, MD
• Nicole Rivera Madera
• David Osvaldo Rivera Negron, PH.D.
• Rossie L Rivera Nieves, O.D.
• Joan Rivera Ortiz, PH D
• Jaime Luis Rivera Rivera, ND

• Clinical Social Worker in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; 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.

Verify at the official NPI Registry.