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Active NPI 1003458092 Individual Practitioner Male Practitioner

Johnattan Rivera-Devarie

Radiologic Technologist • Patillas, PR

Professional Overview & Biography Verified Profile Summary

Johnattan Rivera-Devarie is a registered healthcare professional specializing in Radiologic Technologist in Patillas, PR. Practice services are available at 99 CALLE GUILLERMO RIEFKHOL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

99 Calle Guillermo Riefkhol

Patillas, PR 00723

Telephone 7878394320
Fax 7872710004
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist in Patillas, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 39.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Patillas, PR (28 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist Primary Specialty

NUCC Taxonomy Code: 247100000X

State License PR 3172

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registry Number
122341 (PR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003289547

Pharmacist

NPI 1013365485
Gretchen Ramirez Millan

Technician/Technologist

NPI 1023693199
Elba Blondet , RN

Registered Nurse

NPI 1033329826

Registered Nurse

Juanita Torres Nieves

Registered Nurse

NPI 1033636089
Maria Gracia , RN

Registered Nurse

NPI 1043553100

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2019

Registered at 99 CALLE GUILLERMO RIEFKHOL, PATILLAS, PR 00723 (Tel: 7878394320)

📍
Updated Business Mailing Address October 11, 2019

Registered at PO BOX 697, PATILLAS, PR 007230697 (Tel: 7878394320)

👤
Provider Name / Credentials Updated October 11, 2019

Recorded as JOHNATTAN RIVERA-DEVARIE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2019

Radiologic Technologist (License #3172 in PR)

🟢
Initial NPI Registration & Enumeration October 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003458092
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2019
Last Update: October 11, 2019
Sole Proprietor: No

Mailing Address

Po Box 697

Patillas, PR 007230697

Phone: 7878394320

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.