Rivera Mirabal Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

RIVERA MIRABAL UROLOGY LLC

Practice address

San Jorge Medical Office Building Suite 401
San Jorge Street 252
San Juan, PR 00912-0000

Phone

(787) 726-1484

NPI assigned

Oct 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jorge L Rivera Mirabal, M.D.NPI 1720489446

Title

President

Phone

(787) 726-1484

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Jorge L Rivera Mirabal, M.D.

  • Urology Physician
  • San Juan, PR
  • NPI 1720489446

  Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1396610325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL OFFICE BUILDING SUITE 401",
            "address_2": "SAN JORGE STREET 252",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009120000",
            "telephone_number": "787-726-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL OFFICE BUILDING SUITE 401",
            "address_2": "SAN JORGE STREET 252",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009120000",
            "telephone_number": "787-726-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA MIRABAL UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "RIVERA MIRABAL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-726-1484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Rivera Matos
• Lucia Rivera Matos, MD
• Rosany Ann Rivera Matos, RN
• Maribel Rivera Mejias, MD
• Kamille M Rivera Mendez, CPL
• Eduardo R Rivera Mirabal, MD
• Jorge L Rivera Mirabal, M.D.
• Gretchen Rivera Monserrate, M.D.
• Yomaris Nicole Rivera Morales
• Adive Rivera Muller, MD

• Urology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.