Individual provider Active NPI

Jinetsy Ines Rivera-Ortiz

  • Endocrinology, Diabetes & Metabolism Physician
  • Arecibo, PR
National Provider Identifier
1548657935
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21419 Issued in PR
Practice address
Metropolitan Office Building
Num 5 Calle Palma
Arecibo, PR 00612
Phone
(787) 650-1071
Fax
(787) 650-1056
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21419 PR Primary

Addresses

Primary practice location

Metropolitan Office Building
Num 5 Calle Palma
Arecibo, PR 00612

Mailing address

PO Box 1041
Vega Alta, PR 00692-1041
Phone (787) 320-0844

Other practice location 1

University District Hospital Puerto Rico Medical Center
Bo Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200217001299 PR Practitioner - Internal Medicine 6002243821 Reassigns benefits to 2 organizations
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 7 Carr
Suite 2
Manati, PR 00674-4894
Phone (787) 621-3800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince Jun 3, 2021 Accepting new patients
Endocrinology and Metabolism Wellness Center LLC Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2021 Accepting new patients

Locations

55 Calle Palma
Ofc
Arecibo, PR 00612
Phone (787) 306-1898

55 Calle Palma
Ofc Bu
Arecibo, PR 00612
Phone (787) 650-1071

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1548657935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006921041",
            "telephone_number": "787-320-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METROPOLITAN OFFICE BUILDING",
            "address_2": "NUM 5 CALLE PALMA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-650-1071",
            "fax_number": "787-650-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UNIVERSITY DISTRICT HOSPITAL PUERTO RICO MEDICAL CENTER",
            "address_2": "BO MONACILLOS",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-ORTIZ",
        "first_name": "JINETSY",
        "middle_name": "INES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "21419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.