Individual provider Active NPI

Jose A Carreras-Rivera, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1790985471
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16834 Issued in PR
Practice address
30 Calle Padial
Gatsby Plaza Suit 318
Caguas, PR 00725-3597
Phone
(787) 948-2039
NPI assigned
Jul 20, 2007
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16834 PR Primary

Addresses

Primary practice location

30 Calle Padial
Gatsby Plaza Suit 318
Caguas, PR 00725-3597

Mailing address

PO Box 1773
Juncos, PR 00777-1773
Phone (787) 948-2039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16834PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1790985471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1773",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771773",
            "telephone_number": "787-948-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE PADIAL",
            "address_2": "GATSBY PLAZA SUIT 318",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253597",
            "telephone_number": "787-948-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS-RIVERA",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.