Juan R Rivera Jr MD Professional Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JUAN R RIVERA JR MD PROFESSIONAL CORPORATION

Practice address

765 Medical Center CT Ste 201
Chula Vista, CA 91911-6600

Phone

(619) 241-9472

Fax

(619) 215-0138

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Juan R Rivera Jr., MDNPI 1477698116

Title

Ceo

Phone

(619) 241-9472

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Ramon Rivera Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Chula Vista, CA
  • NPI 1477698116
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1740015411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041622",
            "telephone_number": "619-241-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MEDICAL CENTER CT STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116600",
            "telephone_number": "619-241-9472",
            "fax_number": "619-215-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN R RIVERA JR MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-241-9472",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jr Anesthesia Inc
• JS Podiatry & Wound Care, Professional Corporation
• Juan Andre Gomes, D.D.S, Inc
• Juan Antonio Mendoza
• Juan M. Calderon, MD Apc
• Emily Juarez Montes
• Joel Juarez-Uribe, M.D.
• Alessia Juarez
• America Paloma Juarez, LCSW
• Jeanette Juarez

• Obstetrics & Gynecology Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.