Active NPI
Jim Eduardo Rivera, D.M.D.
- General Practice Dentistry
- Cabo Rojo, PR
National Provider Identifier
1598730442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1157
- Practice address
- 32 Calle Barbosa
Cabo Rojo, PR 00623-3511 - Phone
- (787) 851-1897
- Fax
- (787) 851-1897
- NPI assigned
- Feb 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1157 | PR | Primary |
Addresses
Primary practice location
32 Calle Barbosa
Cabo Rojo, PR 00623-3511
Mailing address
32 Calle Barbosa
Cabo Rojo, PR 00623-3511
Phone (787) 851-1897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220329001240 | FL | Order and Referring Only - Dentist | 4880080985 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1157 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1598730442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CALLE BARBOSA",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006233511",
"telephone_number": "787-851-1897",
"fax_number": "787-851-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 CALLE BARBOSA",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006233511",
"telephone_number": "787-851-1897",
"fax_number": "787-851-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JIM",
"middle_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
- Jonas Rivera Madera, PHARM.D.
- Amarilis Rivera Maldonado, MD
- Jose Antonio Rivera-Zamot, D.O., O.D.
- Crystal Eden Rivera, PHARM D.
- Japhet Rivera, LMT
- RMCM Corp. (Tender Care Centro de Vacunacion)
- Nayip Rodriguez Pellicier, OD
- Yanibet Rodriguez Santiago, RN
- Jose Gerardo Rodriguez Valentin, MD
- Julianna Rodriguez Varela
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.