Organization Active NPI

Jjre Health Services LLC

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1376900977
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14200 Issued in PR
Legal business name
JJRE HEALTH SERVICES LLC
Practice address
623 Ave la Ceiba
Rovira Office Partk Suite 403
Ponce, PR 07170
Phone
(787) 973-0010
Fax
(787) 973-0011
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Jose J Rivera EsparraNPI 1356314652
Title
MD
Phone
(787) 973-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 14200 PR Primary

Addresses

Primary practice location

623 Ave la Ceiba
Rovira Office Partk Suite 403
Ponce, PR 07170

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
14200OtherPRLIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116001148 PR Part B Supplier - Clinic/Group Practice 9133488323 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1376900977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HDAS DEL MONTE 5005 CONSTANCIA",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-973-0010"
        },
        {
            "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": "07170",
            "telephone_number": "787-973-0010",
            "fax_number": "787-973-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJRE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA ESPARRA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-973-0010"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "14200",
            "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 May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.