Organization Active NPI

JGR Corporation

  • Pediatrics Physician
  • Carolina, PR
National Provider Identifier
1750631750
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15958 Issued in PR
Legal business name
JGR CORPORATION
Practice address
315 Blvd Media Luna
Apt 1403
Carolina, PR 00987-5143
Phone
(787) 462-5717
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Jorge G Rivera, M.D.
Title
President
Phone
(787) 462-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 15958 PR Primary

Addresses

Primary practice location

315 Blvd Media Luna
Apt 1403
Carolina, PR 00987-5143

Mailing address

315 Blvd Media Luna
Apt 1403
Carolina, PR 00987-5143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1750631750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 BLVD MEDIA LUNA",
            "address_2": "APT 1403",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009875143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BLVD MEDIA LUNA",
            "address_2": "APT 1403",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009875143",
            "telephone_number": "787-462-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-462-5717",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.