Jorge Rivera-Jimenez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 120808 Issued in FL

Practice address

13820 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-5424

Phone

(049) 260-2565

Fax

(904) 246-6878

NPI assigned

Nov 14, 2006

Last updated

Aug 9, 2023By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22574/brand/1/csg/1/fhir/r4
• Direct secure messaging: jorge.rivera-jimenez.1@8042.direct.athenahealth.com
• Direct secure messaging: jorge.rivera.jimenez.1@22574.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaches Pediatrics, PA

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1295989606
  NPD Authorized official
• Children's Express Care Clinic

  dba Excel Pediatrics

  • Pediatrics Physician
  • Middleburg, FL
  • NPI 1730685157
  NPD (past)
• Doctors Inlet Pediatrics and Primary Care

  dba Doctors Inlet Internal Medicine, Spine and Pain

  • Internal Medicine Physician
  • Middleburg, FL
  • NPI 1518328301

  Pediatrics

  NPD (past)
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1902978059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 OLD SAINT AUGUSTINE RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585424",
            "telephone_number": "904-260-2565",
            "fax_number": "049-246-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 OLD SAINT AUGUSTINE RD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585424",
            "telephone_number": "049-260-2565",
            "fax_number": "904-246-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Telford Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322598218",
            "country_code": "US",
            "telephone_number": "904-519-0008",
            "fax_number": "904-379-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-JIMENEZ",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15958",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 120808",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME120808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018225000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River's Edge Counseling, PLLC
• River's Edge Counseling, PLLC
• Huriel A Rivera Aponte
• Mercedes Rivera Hernandez, NP
• Kevin Orlando Rivera Vargas, PHARMACY INTERN
• Candido Edgardo Rivera-Linares, M.D.
• Mabel Rivera-Padilla, M.D.
• Alyssa Yasmine Rivera
• Denise M Rivera
• Desiree Rivera

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.