Jose D Rivera Miranda, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

12341 Issued in PR

Practice address

2431 Ave Las Americas
306 Edificio Porrata Pila
Ponce, PR 00717-2113

Phone

(787) 841-0574

Fax

(787) 841-0574

NPI assigned

Nov 1, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1992882815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "306 EDIFICIO PORRATA PILA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-841-0574",
            "fax_number": "787-841-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 AVE LAS AMERICAS",
            "address_2": "306 EDIFICIO PORRATA PILA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-841-0574",
            "fax_number": "787-841-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MIRANDA",
        "first_name": "JOSE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "12341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yves J Rivera Hernandez, M.D.
• Docelyn Sharat Rivera Lopez
• Luz Edmaris Rivera Lopez, AUD
• Amanda Rivera Martinez
• Miriam Rivera Mendoza, MD
• Rivera Morales Dental Studio LLC
• Darymar Rivera Morales
• Ricardo Manuel Rivera Muniz
• Alana Rivera Negron
• Sheila Rivera Octtaviani, M.C.

• Pediatric Adolescent Medicine Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Pediatric Adolescent Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.