Individual provider Active NPI

Jo Bether Rivera, MD

  • Primary Care Clinic/Center
  • Ponce, PR
National Provider Identifier
1871744482
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14761 Issued in PR
Practice address
2638 Calle Pontevedra
Urb. Jardines Fagot
Ponce, PR 00716-3614
Phone
(787) 843-4754
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X 14761 PR
Voluntary or Charitable Agency 251V00000X 14761 PR
Clinic/Center 261Q00000X 14761 PR
Community Health Clinic/Center 261QC1500X 14761 PR
Corporate Health Clinic/Center 261QC1800X 14761 PR
Health Service Clinic/Center 261QH0100X 14761 PR
Primary Care Clinic/Center 261QP2300X 14761 PR Primary
Occupational Medicine Clinic/Center 261QX0100X 14761 PR
Health Maintenance Organization 302R00000X 14761 PR
Preferred Provider Organization 305R00000X 14761 PR
Student in an Organized Health Care Education/Training Program 390200000X 14761 PR

Addresses

Primary practice location

2638 Calle Pontevedra
Urb. Jardines Fagot
Ponce, PR 00716-3614

Mailing address

18544 Cherry Laurel LN
Gaithersburg, MD 20879-5345
Phone (301) 869-3294

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14761PRMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1871744482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18544 CHERRY LAUREL LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795345",
            "telephone_number": "301-869-3294",
            "fax_number": "240-477-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 CALLE PONTEVEDRA",
            "address_2": "URB. JARDINES FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007163614",
            "telephone_number": "787-843-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JO",
        "middle_name": "BETHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "14761",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": "14761",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.