Jaminett Rivera Vidal, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15119 Issued in PR

Practice address

Urbanizacion Bella Vista
Calle C #11
Ponce, PR 00716

Phone

(787) 842-1245

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaminett.rivera@medcentro.directbygreenway.com

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.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147
  Medicare reassignment NPD
• Centro de Pediatria Y Medicina de Familia de Villalba, CSP

  • General Practice Physician
  • Villalba, PR
  • NPI 1174566236
  NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1386707487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VISTA POINT",
            "address_2": "3441 PASEO VERSATIL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-842-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION BELLA VISTA",
            "address_2": "CALLE C #11",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-842-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA VIDAL",
        "first_name": "JAMINETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix M Rivera Troia, MD
• Milton Manuel Rivera Valentin, MD
• Natalia Nicole Rivera Vazquez, PHARMD
• Carol Rivera Vega, MD
• Nadia Enid Rivera Vega, PHD
• Aaron Xavier Rivera-Bracero
• Ileana Ivette Rivera-Burgos, MD
• Carlos M Rivera-Caban, M.D.
• Maira Ivette Rivera-Cales, M.T.
• Sheila Odette Rivera-Cales, PH.D.

• Pediatrics Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.