Pedro Jose Rivera, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

724-PA Issued in PR

Practice address

Carretera 132 KM 9.2 Interior Barrio Cotto Quebradas SE
Penuelas, PR 00624

Phone

(787) 238-0757

NPI assigned

Mar 12, 2020

Last updated

Mar 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1851927610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240953",
            "telephone_number": "787-238-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 132 KM 9.2 INTERIOR BARRIO COTTO QUEBRADAS SE",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-238-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "PEDRO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "724-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Edwin Quinones Vazquez, MD
• Daisy Quiros, M.D.
• Jorge R. Ramirez-Montalvo, M.D.
• Jorge Luis Ramos, DMD
• Haroline Raquel Rivera Alvarado
• Alanis Nicole Rodriguez Arroyo
• Frances Rodriguez Gotay, MSW
• Frances Mary Rodriguez Matos, M.D.
• Tamara Rodriguez Santiago, LCSW
• Ruca Corp.

• Physician Assistant in Penuelas, PR
• Providers in Penuelas, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.