Individual provider Active NPI

Jaime L Rivera, MD

  • General Practice Physician
  • San German, PR
National Provider Identifier
1912672619
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022219 Issued in PR
Practice address
69 Ave Univ Interamericana
San German, PR 00683-4045
Phone
(787) 827-9568
NPI assigned
Aug 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022219 PR Primary

Addresses

Primary practice location

69 Ave Univ Interamericana
San German, PR 00683-4045

Mailing address

747 Calle Yaguez
Est del Rio
Hormigueros, PR 00660-9804
Phone (787) 445-5222

Other names 1

  • Dr. Jaime L Rivera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112000809 PR Practitioner - General Practice 2769874320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022219PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Dec 6, 2021 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1912672619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 CALLE YAGUEZ",
            "address_2": "EST DEL RIO",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006609804",
            "telephone_number": "787-445-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 AVE UNIV INTERAMERICANA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834045",
            "telephone_number": "787-827-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JAIME",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "RIVERA",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.