Jdo Servicios Pediatricos de Sur

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

11176 Issued in PR

Legal business name

JDO SERVICIOS PEDIATRICOS DE SUR

Practice address

Hosp Episcopal Cristo Redentor
Ave Albizu Campos
Guayama, PR 00784

Phone

(787) 866-8301

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan Domingo Ortiz Rivera, M.D.NPI 1891742193

Title

Doctor

Phone

(787) 866-8301

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan D. Ortiz Rivera, M.D.

  • Pediatrics Physician
  • Salinas, PR
  • NPI 1891742193
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710109384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PARQ INTERAMERICANA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007847337",
            "telephone_number": "787-866-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSP EPISCOPAL CRISTO REDENTOR",
            "address_2": "AVE ALBIZU CAMPOS",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDO SERVICIOS PEDIATRICOS DE SUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ RIVERA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-866-8301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "11176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S PROVIDERS NUMBER",
            "identifier": "85083",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrate Community Health System (Metro Pavia Clinic Guayama)
• Integrative PM & R
• Inter American University of Puerto Rico
• Inter American University of Puerto Rico, Guayama Campus
• Jaruco Dental Services CSP
• Suzie Jean-Louis, MD
• Jets Ambulance LLC
• Reynat Jimenez Hernandez, MD
• Arhimazda Jimenez, D.D.S.
• Gerson Jimenez, M.D.

• Pediatrics Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.