Jorge R Rivera Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101248583 Issued in VA

Practice address

3638 Verona TRL
Roanoke, VA 24018-4919

Phone

(540) 772-2776

NPI assigned

Jun 8, 2007

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1932302502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3638 VERONA TRL",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184919",
            "telephone_number": "540-772-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3638 VERONA TRL",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184919",
            "telephone_number": "540-772-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD441893",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101248583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025751630001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephane Rinfret
• Laura Ringley, FNP-C
• Rise Health, LLC
• Elizabeth Leigh Ritchie, LCSW
• Sarah Kerry Rivelli, MD
• Regina Rivera
• Amy Green Rivers, M.D.
• RL Spice LLC
• RMH Emergency Services, LLC (Carilion Emergency Physicians)
• Brett Reagan Roach, L.P.C., L.M.F.T.

• Internal Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.