Individual provider Active NPI

Jorge Luis Rivera-Herrera, MD

  • Urology Physician
  • Santurce, PR
National Provider Identifier
1447211677
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
11152 Issued in PR
Practice address
Cond San Jorge # 252
San Jorge Medical Office Building Suite 401
Santurce, PR 00912-3359
Phone
(787) 726-1484
Fax
(787) 268-0972
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 11152 PR Primary

Addresses

Primary practice location

Cond San Jorge # 252
San Jorge Medical Office Building Suite 401
Santurce, PR 00912-3359

Mailing address

San Jorge Medical Office Building . 401
San Jorge Ave. 252
San Juan, PR 00912
Phone (787) 726-1484

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110427000566 PR Practitioner - Urology 7315122835 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Puerto Rico School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

252 Calle San Jorge
Suite 401
San Juan, PR 00912-3241
Phone (787) 726-1484

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11152PRMDUrology Physician

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1447211677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL OFFICE BUILDING . 401",
            "address_2": "SAN JORGE AVE. 252",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-726-1484",
            "fax_number": "787-268-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND SAN JORGE # 252",
            "address_2": "SAN JORGE MEDICAL OFFICE BUILDING SUITE 401",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009123359",
            "telephone_number": "787-726-1484",
            "fax_number": "787-268-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-HERRERA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "11152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.