Individual ProviderJose A. Rivera-NevarezStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressBo. Mona Cillos 150 Ave Americo Miranda Area Centro, Medico Met, Sanjuan, PR 00935(787) 763-4149(787) 942-5238PECOS EnrollmentBased on the most recent information from CMS, provider Jose A. Rivera-Nevarez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1245647825Provider TypeIndividualFull NameRivera-Nevarez, Jose A.CredentialM. D.GenderMaleSole ProprietorYesEnumeration Date7/16/2014Last Updated7/16/2014Contact InformationPractice LocationPractice AddressBo. Mona Cillos 150 Ave Americo Miranda Area Centro, Medico Met, Sanjuan, PR 00935Phone(787) 763-4149FaxUnlisted FaxMailing LocationMailing AddressQ5 Calle Reno, Vista Bella, Bayamon, PR 00956-4824Phone(787) 942-5238FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense13,466-IPuerto Rico