1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. General Practice
  6. NPI Profile

DR. JONATHAN RIVERA ROSA M.D
NPI 1336390749
General Practice in Charleston, SC

Active since October 03, 2008PECOS Enrolled
109 BEE ST, CHARLESTON, SC 29401(843) 577-5011 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2017, Nov 2, 2016, Oct 21, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Jonathan Rivera Rosa M.d NPPES

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

DR. JONATHAN RIVERA ROSA M.D (NPI 1336390749) is an individual general practice provider in Charleston, South Carolina, licensed in Puerto Rico (17280) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336390749
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JONATHAN RIVERA ROSACredential: M.D
Location Address109 BEE STCharleston, SC 29401-5703
Mailing Address109 Bee StCharleston, SC 29401-5703 · (843) 577-5011
Phone(843) 577-5011
Sole ProprietorNo
Enumeration DateOctober 3, 2008
Last NPPES UpdateMarch 24, 20174 updates tracked since enumeration
✔ NPI 1336390749 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 · 17280
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
109 BEE ST, Charleston, SC 29401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Rivera Rosa M.d 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.

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.

MRS. PAMELA STAKER MSN, FNP-BC
Nurse Practitioner (Family)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
SUSANNE H HENDRICKS R.D.
Dietitian, Registered
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. PATRICK S COGAN PHARM.D.
Pharmacist
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
DR. JOHN MOSS PAINTER
Counselor (Pastoral)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
MICHELLE E HOWELL LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEA BROWN BLIGEN LISW-CP/S
Social Worker (Clinical)
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 577-5011
RENEE GRACE REAGAN LMSW
Social Worker
109 BEE ST
CHARLESTON, SC 29401
Charleston County (843) 789-6568
MRS. JULISE WASHINGTON HUGHES LMSW
Social Worker
109 BEE ST, RM E215
CHARLESTON, SC 29401
Charleston County (843) 792-7027

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 Jonathan Rivera Rosa's NPI number?

The NPI number for Jonathan Rivera Rosa is 1336390749. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Jonathan Rivera Rosa located?

Jonathan Rivera Rosa practices at 109 Bee St, Charleston, SC 29401. The listed phone number is (843) 577-5011.

What is Jonathan Rivera Rosa's specialty?

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

Is Jonathan Rivera Rosa enrolled in Medicare?

Yes. Jonathan Rivera Rosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Rivera Rosa was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.