Provider Demographics
NPI:1952306789
Name:RIVERA CARTAGENA, JAIME ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ALBERTO
Last Name:RIVERA CARTAGENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-0787
Mailing Address - Country:US
Mailing Address - Phone:787-735-7501
Mailing Address - Fax:
Practice Address - Street 1:24 CALLE PEDRO ARROYO
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4422
Practice Address - Country:US
Practice Address - Phone:787-867-7503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6526207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR08695-5025OtherASOCIACION MAESTROS P.R.
PR400036OtherMEDICARE Y MUCHO MAS
PR5450OtherINTERNATIONAL MEDICAL CAR
PR068142OtherLA CRUZ AZUL DE P.R.
PR2-6526OtherCIGNA
PR00108OtherPLAN MENONITA
PR27800RIOtherTRIPLE S
PRE436526OtherUIA
PR2-6526OtherCIGNA
PR400036OtherMEDICARE Y MUCHO MAS