Jesus M Rivera

Primary specialty

OpticianTaxonomy code 156FX1800X

License

886 Issued in PR

Practice address

Carretera 159 KM 13.1
Local 5
Corozal, PR 00783

Phone

(787) 378-0656

NPI assigned

May 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corozal Optical

  • Ophthalmology Physician
  • Corozal, PR
  • NPI 1699366955
  NPD Authorized official

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1992297675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E-13 PARKSIDE 1",
            "address_2": "APT 6-C",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683324",
            "telephone_number": "787-378-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 159 KM 13.1",
            "address_2": "LOCAL 5",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-378-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JESUS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PR",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660899821",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karolyn Rivera Albaladejo, OD
• Kiara Gabriela Rivera Fuentes Jr.
• Claritza Rivera Santos
• Nilda Raquel Rivera-Hernandez, M.D.
• Ivis E Rivera
• Josue Rivera, MA, MSW
• Karen Damaris Rivera I
• Maritza Rivera
• Nery L Rivera
• Nicole M. Rivera, PHARMD

• Optician in Corozal, PR
• Providers in Corozal, PR by specialty
• Optician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.