Active NPI
J.E.R.I. Cardiomed, P.S.C.
- Cardiovascular Disease Physician
- Guaynabo, PR
National Provider Identifier
1457526782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 12297
- Legal business name
- J.E.R.I. CARDIOMED, P.S.C.
- Practice address
- N7 Calle 18 Urb Oasis Gardens
Guaynabo, PR 00969 - Phone
- (787) 766-0466
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Enrique Rivera Irizarry
- Title
- President
- Phone
- (787) 766-0466
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12297 | PR | Primary |
Addresses
Primary practice location
N7 Calle 18 Urb Oasis Gardens
Guaynabo, PR 00969
Mailing address
N7 Calle 18 Urb Oasis Gardens
Guaynabo, PR 00969
Phone (787) 766-0466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Ave El Jibaro
Cidra, PR 00739
Phone (787) 271-2070
708 Ave Ponce de Leon
Ste 101
San Juan, PR 00918
Phone (787) 766-0469
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Arroyo, PR
- NPI 1851379606
-
- Endocrinology, Diabetes & Metabolism Physician
- Ponce, PR
- NPI 1801031471
-
- General Practice Physician
- Pinetop, AZ
- NPI 1760890123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1457526782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N7 CALLE 18 URB OASIS GARDENS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-766-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N7 CALLE 18 URB OASIS GARDENS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-766-0466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J.E.R.I. CARDIOMED, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "RIVERA IRIZARRY",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-766-0466",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PR",
"license": "12297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.