Individual provider Active NPI

Jose A Rivera Vega, RN

  • Registered Nurse
  • Humacao, PR
National Provider Identifier
1609048628
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
21858 Issued in PR
Practice address
Aps Clinics PR
Ave. Tejas Carr. 903 KM. 5
Humacao, PR 00791
Phone
(787) 641-0774
Fax
(787) 641-0776
NPI assigned
Mar 31, 2008
Last updated
Mar 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 21858 PR Primary

Addresses

Primary practice location

Aps Clinics PR
Ave. Tejas Carr. 903 KM. 5
Humacao, PR 00791

Mailing address

Aps Clinics PR
PO Box 71474
San Juan, PR 00936-8574
Phone (787) 641-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
21858PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1609048628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APS CLINICS PR",
            "address_2": "PO BOX 71474",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368574",
            "telephone_number": "787-641-0774",
            "fax_number": "787-641-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APS CLINICS PR",
            "address_2": "AVE. TEJAS CARR. 903 KM. 5",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-641-0774",
            "fax_number": "787-641-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA VEGA",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "21858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.