Individual provider Active NPI

Jomarie Rivera Irizarry, MD

  • General Practice Physician
  • Luquillo, PR
National Provider Identifier
1922092758
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14978 Issued in PR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 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

IdentifierTypeStateIssuer
14978OtherPRPR LICENSE
ACN 568OtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000544 PR Practitioner - General Practice 4385541572 Reassigns benefits to 2 organizations
Practice locations: Luquillo, PR

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

LicenseStateTypeSpecialty
14978PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Primary Care Mso, Inc. - CDT Luquillo CurrentSince Jan 25, 2024 Accepting new patients
Clinica Las Americas Guaynabo, Inc Current Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Mar 1, 2024 Accepting new patients
Clinica Las Americas Guaynabo, Inc General Practice CurrentSince Mar 1, 2024 Accepting new patients
Puerto Rico Primary Care, Mso, Inc. - Laboratorio CurrentSince Jan 25, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.