Individual provider Active NPI

Jose Sandalio Rivera Irizarry, M.D.

  • General Practice Physician
  • Pompano Beach, FL
National Provider Identifier
1497742316
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1364 Issued in FL
Practice address
1990 N Federal Hwy
Pompano Beach, FL 33062-1032
Phone
(954) 942-2247
Fax
(954) 942-2265
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1364 FL Primary
General Practice Physician 208D00000X 11901 PR

Addresses

Primary practice location

1990 N Federal Hwy
Pompano Beach, FL 33062-1032

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Other identifiers 7

IdentifierTypeStateIssuer
JSRI-819OtherPRMENONITA
N-752OtherPRINTERNATINAL MEDICAL CARD
400330OtherPRMEDICARE Y MUCHO MAS
87929OtherPRTRIPLE - S
0010804OtherPRHUMANA HEALTH PLANS (PR)
03286OtherPRAMERICAN HEALTH, INC.
1-2073-1OtherPRACAA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.rivera@chealth.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101109001120 PR Practitioner - General Practice 8325233968 Practice locations: Arroyo, PR
I20211022000190 FL Practitioner - General Practice 8325233968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

339 Cypress Pkwy
Suite 110
Kissimmee, FL 34759-3315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1364FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter Medical Group Inc. CurrentSince Sep 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Grupo Medico Policlinica San Pedro Medicare Advantage Past Accepting new patients

Locations

295 Patterson Rd
Ste 103
Haines City, FL 33844
Phone (407) 576-7762

295 Patterson Rd
Haines City, FL 33844
Phone (863) 422-4338

339 Cypress Pkwy
Ste 110
Poinciana, FL 34759
Phone (407) 343-5000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1497742316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 N FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621032",
            "telephone_number": "954-942-2247",
            "fax_number": "954-942-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA IRIZARRY",
        "first_name": "JOSE",
        "middle_name": "SANDALIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1364",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENONITA",
            "identifier": "JSRI-819",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATINAL MEDICAL CARD",
            "identifier": "N-752",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "400330",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE - S",
            "identifier": "87929",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLANS (PR)",
            "identifier": "0010804",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH, INC.",
            "identifier": "03286",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "1-2073-1",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.rivera@chealth.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1990 N Federal Hwy",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330621032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.