Individual provider Active NPI

Javier Cintron-Rivera, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1447835962
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22171 Issued in PR
Practice address
4412 Calle Gaita
Ponce, PR 00728-2989
Phone
(717) 430-7264
NPI assigned
Mar 16, 2021
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22171 PR Primary

Addresses

Primary practice location

4412 Calle Gaita
Ponce, PR 00728-2989

Mailing address

4412 Calle Gaita
Ponce, PR 00728-2989
Phone (717) 430-7264

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
I20211103001128 PR Practitioner - General Practice 1658769153 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22171PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1447835962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 CALLE GAITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282989",
            "telephone_number": "717-430-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 CALLE GAITA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007282989",
            "telephone_number": "717-430-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON-RIVERA",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.