Active NPI
Jimmy Bernard Cappielo Rivera
- Medical Physician Assistant
- Ponce, PR
National Provider Identifier
1902719164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 03290-PA
- Practice address
- HC 9 Box 1752
Ponce, PR 00731-9746 - Phone
- (787) 394-7983
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 03290-PA | PR | Primary |
Addresses
Primary practice location
HC 9 Box 1752
Ponce, PR 00731-9746
Mailing address
HC 9 Box 1752
Ponce, PR 00731-9746
Phone (787) 394-7983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1902719164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 9 BOX 1752",
"city": "PONCE",
"state": "PR",
"postal_code": "007319746",
"telephone_number": "787-394-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 9 BOX 1752",
"city": "PONCE",
"state": "PR",
"postal_code": "007319746",
"telephone_number": "787-394-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPIELO RIVERA",
"first_name": "JIMMY",
"middle_name": "BERNARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "03290-PA",
"primary": true
}
],
"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 Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.