Individual provider Active NPI

Jorge L Rivera Mirabal, M.D.

  • Urology Physician
  • San Juan, PR
National Provider Identifier
1720489446
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
024645 Issued in PR
Practice address
San Jorge Medical Office Building Suite 401
252 San Jorge Street
San Juan, PR 00912-0000
Phone
(787) 726-1484
NPI assigned
Sep 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 024645 PR Primary
Surgery Physician 208600000X 024645 PR
Urology Physician 208800000X ME153764 FL
Urology Physician 208800000X BP10056345 TX
Surgery Physician 208600000X BP10056345 TX

Addresses

Primary practice location

San Jorge Medical Office Building Suite 401
252 San Jorge Street
San Juan, PR 00912-0000

Mailing address

San Jorge Medical Office Building Suite 401
252 San Jorge Street
San Juan, PR 00912-0000
Phone (787) 726-1484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220505002356 FL Practitioner - Urology 3072990373 Reassigns benefits to 1 organization
I20251118001327 PR Practitioner - Urology 3072990373 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Urology Associates PAGroup PAC ID 3072521095, 4 clinicians

Practice addresses (Care Compare)

41 W Kaley St
Orlando, FL 32806-2942
Phone 4078436645114

San Jorge Medical Office Building
San Juan, PR 00912-3239
Phone (787) 726-1484

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
67.21 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
90.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024645PRMDUrology Physician
BP10056345TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Urology Associates, PA Urology CurrentSince Jul 1, 2022 Accepting new patients
Rivera Mirabal Urology LLC Surgery Current Accepting new patients
Orlando Urology Associates, PA Urology PastSince Jun 1, 2022 Accepting new patients

Locations

6001 Vineland Rd
Ste 101
Orlando, FL 32819
Phone (407) 352-0573

41 W Kaley St
Orlando, FL 32806
Phone (407) 843-6645

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc27753_orlandourologyassociates

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1720489446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL OFFICE BUILDING SUITE 401",
            "address_2": "252 SAN JORGE STREET",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009120000",
            "telephone_number": "787-726-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JORGE MEDICAL OFFICE BUILDING SUITE 401",
            "address_2": "252 SAN JORGE STREET",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009120000",
            "telephone_number": "787-726-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MIRABAL",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "024645",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "024645",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME153764",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "BP10056345",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10056345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.