HECTOR J RIVERA JACQUEZ MD PHD
NPI 1134910482
Student in an Organized Health Care Education/Training Program in Warner Robins, GA

Q: What is Hector Rivera Jacquez's NPI number?

The NPI number for Hector Rivera Jacquez is 1134910482. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Q: What is Hector Rivera Jacquez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 15, 2025PECOS Enrolled

1601 WATSON BLVD, WARNER ROBINS, GA 31093(478) 922-4281 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2026, May 15, 2025 (2 updates tracked since 2025).

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About Hector J Rivera Jacquez Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HECTOR J RIVERA JACQUEZ MD PHD (NPI 1134910482) is an individual student in an organized health care education/training program in Warner Robins, Georgia, licensed in Georgia (112769) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hato Rey.

NPPES Registry Identity

NPI1134910482

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHECTOR J RIVERA JACQUEZCredential: MD PHD

Location Address1601 WATSON BLVDWarner Robins, GA 31093-3431

Mailing Address1601 Watson BlvdWarner Robins, GA 31093-3431 · (478) 922-4281

Phone(478) 922-4281

Sole ProprietorNo

Enumeration DateMay 15, 2025

Last NPPES UpdateJune 13, 20262 updates tracked since enumeration

NPPES CertifiedJune 13, 2026

✔ NPI 1134910482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Licenses✔ Licensed in GA · 112769✔ Licensed in PR · 17389-I

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1601 WATSON BLVD, Warner Robins, GA 31093

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Secondary Practice Location 1

Location 1715 Ave Ponce De LeonHato Rey, PR 00917-5032 · Phone (787) 758-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hector J Rivera Jacquez Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD (E.D.) DOUGLAS CULVERHOUSE MD

Anesthesiology (Pain Medicine)