Individual provider Active NPI

Jose E Rivera Irizarry, M.D.

  • Cardiovascular Disease Physician
  • Arroyo, PR
National Provider Identifier
1851379606
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
12297 Issued in PR
Practice address
100 Calle Morse
Arroyo, PR 00714-2607
Phone
(787) 271-1711
Fax
(787) 839-1117
NPI assigned
Jan 3, 2006
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 12297 PR Primary

Addresses

Primary practice location

100 Calle Morse
Arroyo, PR 00714-2607

Mailing address

N7 Calle 18
Urb Oasis Gardens
Guaynabo, PR 00969-3411
Phone (787) 614-0979

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
I20100602000606 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1456480318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Calle Morse
Arroyo, PR 00714-2607
Phone (787) 271-2070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J.E.R.I. Cardiomed, P.S.C. Cardiovascular Disease CurrentSince May 25, 2015 Accepting new patients
Rird Cardioserv del Sureste Cardiovascular Disease PastSince May 25, 2015 Accepting new patients

Locations

100 Calle Morse
Arroyo, PR 00714
Phone (787) 271-1711

100 Ave El Jibaro
Cidra, PR 00739
Phone (787) 271-2070

708 Ave Ponce de Leon
Ste 101
San Juan, PR 00918
Phone (787) 766-0469

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1851379606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7 CALLE 18",
            "address_2": "URB OASIS GARDENS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693411",
            "telephone_number": "787-614-0979",
            "fax_number": "787-767-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE MORSE",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142607",
            "telephone_number": "787-271-1711",
            "fax_number": "787-839-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA IRIZARRY",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "12297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo, PR

Sources for this page

Verify at the official NPI Registry.