Individual provider Active NPI

Mayra Jimenez Rivera, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1962812115
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21594 Issued in PR
Practice address
Consolidated Mall, Anexo B-5
202 Avenue Jose Gautier Benitez
Caguas, PR 00725
Phone
(787) 704-0705
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 21594 PR Primary

Addresses

Primary practice location

Consolidated Mall, Anexo B-5
202 Avenue Jose Gautier Benitez
Caguas, PR 00725

Mailing address

Consolidated Mall, Anexo B-5
202 Avenue Jose Gautier Benitez
Caguas, PR 00725
Phone (787) 704-0705

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
I20240702000215 PR Practitioner - General Practice 0749724748 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21594PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. CurrentSince Mar 25, 2024 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Mar 25, 2024 Accepting new patients

Organizations & group practices 3

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1962812115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL, ANEXO B-5",
            "address_2": "202 AVENUE JOSE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONSOLIDATED MALL, ANEXO B-5",
            "address_2": "202 AVENUE JOSE GAUTIER BENITEZ",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-704-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ RIVERA",
        "first_name": "MAYRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.