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DR. JOSE V RIVERA IRIZARRY M.D.
NPI 1245238856
General Practice in Guayama, PR

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
F83 CALLE ESTEBAN B CRUZ STE 1, URB VIVES, GUAYAMA, PR 00784(787) 839-6775(787) 592-0631 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, May 22, 2026, Oct 25, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Jose V Rivera Irizarry M.d. NPPES

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

DR. JOSE V RIVERA IRIZARRY M.D. (NPI 1245238856) is an individual general practice provider in Guayama, Puerto Rico, licensed in Puerto Rico (10981) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Damas Inc, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1245238856
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOSE V RIVERA IRIZARRYCredential: M.D.
Location AddressF83 CALLE ESTEBAN B CRUZ STE 1, URB VIVESGuayama, PR 00784
Mailing AddressPo Box 1837Guayama, PR 00785-1837 · (787) 839-6775 · Fax (787) 592-0631
Phone(787) 839-6775
Fax(787) 592-0631
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 8, 2005
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1245238856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 10981
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose V Rivera Irizarry M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355365818
PECOS Enrollment IDI20100626000131
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jose Rivera Irizarry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Damas Inc
General Acute Care Hospital
2213 PONCE BY PASS
Ponce, PR 00717
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 59 clinicians in this Medicare group
NPI 1730159286 (787) 840-8686
Physician H.M.O. Inc.
Emergency Medical Technician, Intermediate
CALLE PADRE DE LAS CASA, #107
San Juan, PR 00918
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Physician Hmo Inc
  • 33 clinicians in this Medicare group
NPI 1730481649 (787) 294-7801
Salud Integral En La Montana, Inc.
Federally Qualified Health Center (FQHC)
116 CALLE BARCELO
Barranquitas, PR 00794
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 112 clinicians in this Medicare group
NPI 1316970833 (787) 857-3440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Damas Inc

Acute Care Hospitals · Ponce, PR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400022
LocationPonce By Pass #2213Ponce, PR 00717 · Ponce County
Emergency services

Hospital Menonita Guayama

Acute Care Hospitals · Guayama, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400048
LocationAve. Pedro Albizu Campos Urb. La HaciendaGuayama, PR 00785 · Guayanilla County
Emergency services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Rivera Irizarry's NPI number?

The NPI number for Jose Rivera Irizarry is 1245238856. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Jose Rivera Irizarry located?

Jose Rivera Irizarry practices at F83 Calle Esteban B Cruz Ste 1 Urb Vives, Guayama, PR 00784. The listed phone number is (787) 839-6775.

What is Jose Rivera Irizarry's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose Rivera Irizarry enrolled in Medicare?

Yes. Jose Rivera Irizarry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose Rivera Irizarry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Rivera Irizarry reassigns Medicare benefits to 3 organizations: Hospital Damas Inc (Ponce, PR), Physician H.M.O. Inc. (San Juan, PR) and Salud Integral En La Montana, Inc. (Barranquitas, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Rivera Irizarry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jose Rivera Irizarry affiliated with any hospitals?

According to CMS data, Jose Rivera Irizarry is affiliated with Hospital Damas Inc and Hospital Menonita Guayama.

When was this NPI record last updated?

The NPPES record for Jose Rivera Irizarry was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.