Individual provider Active NPI

Jeaneishka Marie Rivera Rios, MD

  • Nephrology Physician
  • Toa Baja, PR
National Provider Identifier
1760922728
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23315 Issued in PR
Practice address
Urb Pradera Norte
Ax2 Calle 1
Toa Baja, PR 00949-3693
Phone
(787) 795-5843
NPI assigned
Feb 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23315 PR
Nephrology Physician 207RN0300X 23315 PR Primary

Addresses

Primary practice location

Urb Pradera Norte
Ax2 Calle 1
Toa Baja, PR 00949-3693

Mailing address

Urb Pradera Norte
Ax 2 Calle 1
Toa Baja, PR 00949-3693
Phone (787) 795-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240903002723 PR Practitioner - NephrologyPractitioner - Internal Medicine 0143769273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ax2 Calle
Suite 1
Toa Baja, PR 00949-3693
Phone (787) 795-5843

Hospital & facility affiliations

  • Hospital Pavia Caguas Hospital, Caguas, PR, CCN 400120
  • Hospital Upr, Dr Federico Trilla Hospital, Carolina, PR, CCN 400112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23315PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince May 19, 2025 Accepting new patients
Recinto de Ciencias Medicas Nephrology CurrentSince May 19, 2025 Accepting new patients
Boriken Medical Services Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379

AX2 Calle 1
Toa Baja, PR 00949
Phone (787) 261-0137

Interoperability endpoints

  • Direct secure messaging: jeaneishka.riverarios@3390.securemail.prognocis.com

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 3

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1760922728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PRADERA NORTE",
            "address_2": "AX 2 CALLE 1",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493693",
            "telephone_number": "787-795-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PRADERA NORTE",
            "address_2": "AX2 CALLE 1",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493693",
            "telephone_number": "787-795-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIOS",
        "first_name": "JEANEISHKA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "23315",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "23315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.