NPIMap

Individual provider Active NPI

Jose E Rivera Rodriguez, MD

  • Diagnostic Radiology Physician
  • Aguadilla, PR
National Provider Identifier
1942406343
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
008589 Issued in PR
Practice address
302 Progreso
Aguadilla Xray Office & Body Imaging Center # 2 Y #3
Aguadilla, PR 00605-0418
Phone
(787) 891-6565
Fax
(787) 891-6566
NPI assigned
Jun 22, 2007
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 008589 PR Primary

Addresses

Primary practice location

302 Progreso
Aguadilla Xray Office & Body Imaging Center # 2 Y #3
Aguadilla, PR 00605-0418

Mailing address

PO Box 418
Aguadilla, PR 00605-0418
Phone (784) 891-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000632 PR Practitioner - Nuclear Medicine 5890853030 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
University Central del Caribe Escuela de Medicina, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dla Imaging LLCGroup PAC ID 4981986015, 28 clinicians

Practice addresses (Care Compare)

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 265-3042

1785 Carr
Suite 21
San Juan, PR 00921-3399
Phone (787) 782-9999

371 Ave de Diego
San Juan, PR 00923-3002
Phone (787) 767-5100

522 Calle Tintillo
Guaynabo, PR 00966-1667
Phone (787) 975-9521

55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 650-1030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008589PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Susoni Health Community Services Corp CurrentSince Aug 6, 2019 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Dla Imaging LLC Diagnostic Radiology CurrentSince Mar 4, 2024 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 1, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 1, 2022 Accepting new patients
Fajardo Integrated Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Dr Susoni Health Community Services Corp CurrentSince Aug 6, 2019 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology Past Accepting new patients
Zenith Health Group LLC Past Accepting new patients
Aguadilla X-Ray Office & Body Imaging Center, PSC Past Accepting new patients
Comprehensive Nuclear & Diagnostic Radiology Service, LLC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1942406343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050418",
            "telephone_number": "784-891-6565",
            "fax_number": "787-891-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PROGRESO",
            "address_2": "AGUADILLA XRAY OFFICE & BODY IMAGING CENTER # 2 Y #3",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050418",
            "telephone_number": "787-891-6565",
            "fax_number": "787-891-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "008589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.