Active NPI
Jo Bether Rivera, MD
- Primary Care Clinic/Center
- Ponce, PR
National Provider Identifier
1871744482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 14761
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14761 | PR | MD | Health 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.