Jorge Miguel Rivera Kirkconnell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22810 Issued in PR

Practice address

PO Box 4339
Guaynabo, PR 00970-4339

Phone

(787) 779-0122

NPI assigned

Jul 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Am Acquisition I, LLC

  dba Hospital Auxilio Mutuo San Pablo

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1700559531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4339",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009704339",
            "telephone_number": "787-779-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4339",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009704339",
            "telephone_number": "787-779-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA KIRKCONNELL",
        "first_name": "JORGE",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2024-07-12",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griseli Rivera Gonzalez, RD
• Lydia Rivera Gonzalez, 1025P
• Liliana I Rivera Gracia, M.S.S.L.P.
• Wisael Rivera Hernandez, 1336P
• Eneris M Rivera Iturrino, PSY.D.
• Maria del C. Rivera Lopez, MSW
• Keyla Rivera Melendez, 1271P
• Hiram Rivera Mendoza, 1232B
• Katherine Rivera Millan, 0589B
• Jose R Rivera Morales, 1337P

• Internal Medicine Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.

Verify at the official NPI Registry.