MEDICARE: DR. JORGE JESUS RIVERA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	215371	MA
2	207W00000X	Ophthalmology Physician	MD12036	RI

General Provider Information

NPI Number	:	1053317263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE JESUS RIVERA MD

Provider Business Mailing Address
First Line	:	450 VETERANS MEMORIAL PKWY STE 504
Second Line	:
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-5300
Country	:	US
Telephone Number	:	401-431-1119
Fax Number	:	401-431-1125

Provider Business Practice Location Address
First Line	:	450 VETERANS MEMORIAL PKWY STE 504
Second Line	:
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-5300
Country	:	US
Telephone Number	:	401-413-1119
Fax Number	:	401-431-1125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	06/10/2020

Similar Medicare Providers

1407079643 — EASTSIDE NEUROLOGY, INC.
Practice Location Address:

450 VETERANS MEMORIAL PKWY , BUILDING 11
EAST PROVIDENCE, RI
02914-5300

Practice Phone: 401-431-1860
Practice Fax: 401-435-0328

1467481648 — DR. NORMAN MERVYN GORDON M.D.
Practice Location Address:

450 VETERANS MEMORIAL PKWY , BUILDING 11
EAST PROVIDENCE, RI
02914-5300

Practice Phone: 401-431-1860
Practice Fax: 401-435-0328

1073516654 — RADIOLOGY ASSOCIATES INC
Practice Location Address:

450 VETERANS MEMORIAL PKWY , BUILDING 2
EAST PROVIDENCE, RI
02914-5300

Practice Phone: 401-435-3041
Practice Fax: 401-435-3042

1427042860 — MR. LUIS A OSORIO MD
Practice Location Address:

450 VETERANS MEMORIAL PKWY , BUILDING 6
EAST PROVIDENCE, RI
02914-5300

Practice Phone: 401-435-5533
Practice Fax: 401-431-2555

1407840903 — DR. CHARLES JOHN BREX MD
Practice Location Address:

450 VETERANS MEMORIAL PKWY , BLDG 4
EAST PROVIDENCE, RI
02914-5300

Practice Phone: 401-435-3400
Practice Fax: 401-435-3586

1831184936 — ALEXANDRA E LABOVITZ M.D.
Practice Location Address:

450 VETERANS MEMORIAL PKWY , BUILDING #10
EAST PROVIDENCE, RI
02914-5300

Practice Phone: 401-438-6888
Practice Fax: 401-434-1285

Directions to “ DR. JORGE JESUS RIVERA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.