Active NPI
Jose Sandalio Rivera Irizarry, M.D.
- General Practice Physician
- Pompano Beach, FL
National Provider Identifier
1497742316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1364
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JSRI-819 | Other | PR | MENONITA |
| N-752 | Other | PR | INTERNATINAL MEDICAL CARD |
| 400330 | Other | PR | MEDICARE Y MUCHO MAS |
| 87929 | Other | PR | TRIPLE - S |
| 0010804 | Other | PR | HUMANA HEALTH PLANS (PR) |
| 03286 | Other | PR | AMERICAN HEALTH, INC. |
| 1-2073-1 | Other | PR | ACAA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1364 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Peter Medical Group Inc. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
- NPI 1689901688
-
- Primary Care Clinic/Center
- Kissimmee, FL
- NPI 1942795869
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Specialist
- Arroyo, PR
- NPI 1881914000
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.