Active NPI
JGR Corporation
- Pediatrics Physician
- Carolina, PR
National Provider Identifier
1750631750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 15958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryNPI 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.