Individual provider Active NPI

Jaime Luis Rivera Rivera, ND

  • Integrative Medicine Physician
  • Carolina, PR
National Provider Identifier
1508727017
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
000119 Issued in PR
Practice address
1400 Ave de Diego Ste 220C
Carolina, PR 00987-4703
Phone
(210) 571-5660
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X 000119 PR Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 000119 PR

Addresses

Primary practice location

1400 Ave de Diego Ste 220C
Carolina, PR 00987-4703

Mailing address

Ah19 Calle 23
Bayamon, PR 00961-8347
Phone (210) 571-5660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1400 Ave de Diego
Suite 220C
Carolina, PR 00987

Ah19 Calle
Suite 23
Bayamon, PR 00961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000119PRMDNuclear Medicine Technology Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1508727017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AH19 CALLE 23",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009618347",
            "telephone_number": "210-571-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AVE DE DIEGO STE 220C",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874703",
            "telephone_number": "210-571-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "JAIME",
        "middle_name": "LUIS",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": "PR",
            "license": "000119",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "PR",
            "license": "000119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.