Judibelle Rivera de Jesus, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

12140 Issued in PR

Practice address

33 Calle Baldonoty
Coamo, PR 00769

Phone

(787) 825-2420

Fax

(787) 825-2565

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Ponce School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dra. Judibelle Rivera de Jesus MD, PSC

  • Medical Specialty Clinic/Center
  • Coamo, PR
  • NPI 1194142521
  Medicare reassignment NPD
• Hospital Menonita Ponce Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1235856253
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1841386786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CALLE TIBES",
            "address_2": "MANSIONES DEL SUR",
            "city": "COTTO LAUREL",
            "state": "PR",
            "postal_code": "007802092",
            "telephone_number": "787-825-2420",
            "fax_number": "787-825-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE BALDONOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-825-2420",
            "fax_number": "787-825-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DE JESUS",
        "first_name": "JUDIBELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Milagros Rios Ortiz, FNP
• Sheila Janira Rivas Mateo
• Nydia Yaimi Rivas
• Stephanie Rivera Alvarado, MS
• Lizmary Rivera Davila
• Jose G Rivera Guilbe, M.D.
• Rosa Angelica Rivera Hernandez, PHD
• Yesaira Rivera Lopez
• William Rivera Rosa, MSW
• Brendalie Rivera Torres, PSY

• Obstetrics & Gynecology Physician in Coamo, PR
• Providers in Coamo, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.