Individual provider Active NPI

Jimmy Bernard Cappielo Rivera

  • Medical Physician Assistant
  • Ponce, PR
National Provider Identifier
1902719164
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
03290-PA Issued in PR
Practice address
HC 9 Box 1752
Ponce, PR 00731-9746
Phone
(787) 394-7983
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.