Active NPI
Jesus Rene Rivera Rosa, MD
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1649734419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35630
- Practice address
- 10 Calle Casia
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- NPI assigned
- Jan 25, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PR | ||
| Internal Medicine Physician | 207R00000X | 35630 | PR | Primary |
Addresses
Primary practice location
10 Calle Casia
San Juan, PR 00921-3200
Mailing address
Calle 7 O-7
Urb Santa Monica
Bayamon, PR 00957
Phone (787) 220-3466
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jesus.rivera-rosa@va.gov | Direct | VA CARIBBEAN HEALTHCARE SYSTEM |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35630 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647043200000",
"number": "1649734419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 7 O-7",
"address_2": "URB SANTA MONICA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-220-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA ROSA",
"first_name": "JESUS",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-25",
"last_updated": "2022-03-12",
"certification_date": "2022-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "35630",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jesus.rivera-rosa@va.gov",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "VA CARIBBEAN HEALTHCARE SYSTEM",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email (outlook)",
"address_1": "10 Calle Casia",
"city": "San Juan",
"state": "PR",
"country_code": "US",
"postal_code": "009213200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.