Organization Active NPI

Boriken Medical Services

  • Nephrology Physician
  • Toa Baja, PR
National Provider Identifier
1396598421
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BORIKEN MEDICAL SERVICES
Practice address
Urb Pradera Norte
Ax2 Calle 1
Toa Baja, PR 00949-3693
Phone
(787) 925-7008
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Jeaneishka M Rivera Rios, MDNPI 1760922728
Title
President
Phone
(787) 925-7008

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

Urb Pradera Norte
Ax2 Calle 1
Toa Baja, PR 00949-3693

Mailing address

Urb Pradera Norte
Ax 2 Calle 1
Toa Baja, PR 00949-3693
Phone (787) 795-5843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903002393 PR Part B Supplier - Clinic/Group Practice 9234678368 Receives reassigned benefits from 1 practitioner
Practice locations: Toa Baja, PR

National Provider Directory

National Provider Directory

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": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1396598421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PRADERA NORTE",
            "address_2": "AX 2 CALLE 1",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493693",
            "telephone_number": "787-795-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PRADERA NORTE",
            "address_2": "AX2 CALLE 1",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493693",
            "telephone_number": "787-925-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIKEN MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "RIVERA RIOS",
        "authorized_official_first_name": "JEANEISHKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-925-7008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.