Active NPI
Jaime Luis Rivera Rivera, ND
- Integrative Medicine Physician
- Carolina, PR
National Provider Identifier
1508727017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 000119
- 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
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 |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | 000119 | PR | Primary |
| Naturopath | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000119 | PR | MD | Nuclear 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.