Active NPI
Jomarie Rivera Irizarry, MD
- General Practice Physician
- Luquillo, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14978
- Practice address
- 109 Calle Fernandez Garcia
Local B
Luquillo, PR 00773-2323 - Phone
- (787) 719-4036
- Fax
- (787) 719-4037
- NPI assigned
- Sep 8, 2005
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14978 | PR | Primary |
Addresses
Primary practice location
109 Calle Fernandez Garcia
Local B
Luquillo, PR 00773-2323
Mailing address
148 Camino del Valle
Luquillo, PR 00773-2543
Phone (787) 719-4036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14978 | Other | PR | PR LICENSE |
| ACN 568 | Other | FL | FLORIDA LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Carr 190
8 Sabana Abajo
Carolina, PR 00983-7401
Phone (787) 789-1996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14978 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puerto Rico Primary Care Mso, Inc. - CDT Luquillo | Current | Accepting new patients | |
| Clinica Las Americas Guaynabo, Inc | Current | Accepting new patients | |
| Clinica Las Americas Guaynabo, Inc | Current | Accepting new patients | |
| Clinica Las Americas Guaynabo, Inc | General Practice | Current | Accepting new patients |
| Puerto Rico Primary Care, Mso, Inc. - Laboratorio | Current | Accepting new patients | |
| RS Centro Medicina Avanzada, Corp | Past | Accepting new patients | |
| Centro Medico Central Coto Laurel, Inc | Past | Accepting new patients |
Locations
1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092
159 Calle Quinto Centenario
Luquillo, PR 00773
Phone (787) 500-7752
Interoperability endpoints
- jomarie.riverairizarry@4048.securemail.prognocis.com
Organizations & group practices 7
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.
-
dba Salus Guaynabo
- Multi-Specialty Clinic/Center
- Bayamon, PR
- NPI 1326096058
-
- Emergency Care Clinic/Center
- Luquillo, PR
- NPI 1134873235
-
dba Centro Preventivo Hato Rey
- Preventive Medicine/Occupational Environmental Medicine Physician
- San Juan, PR
- NPI 1366053845
-
dba Salus Ponce
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1841768371
General Practice
-
- Clinical Medical Laboratory
- Luquillo, PR
- NPI 1952055055
-
- Specialist
- Coto Laurel, PR
- NPI 1679529648
-
- Family Medicine Physician
- Coamo, PR
- NPI 1346214129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922092758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 CAMINO DEL VALLE",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007732543",
"telephone_number": "787-719-4036",
"fax_number": "787-719-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CALLE FERNANDEZ GARCIA",
"address_2": "LOCAL B",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "007732323",
"telephone_number": "787-719-4036",
"fax_number": "787-719-4037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA IRIZARRY",
"first_name": "JOMARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2023-03-07",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR LICENSE",
"identifier": "14978",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ACN 568",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.