Individual provider · Type 1 NPI

Hector J. Rivera Jacquez, MD PHD

Student in an Organized Health Care Education/Training Program · Warner Robins, GA

NPI number 1134910482 Active

Practice location

1601 Watson Blvd
Warner Robins, GA 31093-3431

Call (478) 922-4281 Map

Other practice locations

  • 715 Ave Ponce De Leon, Hato Rey, PR 00917-5032 · (787) 758-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X112769 (GA)
Student in an Organized Health Care Education/Training Program 390200000X17389-I (PR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134910482

Hector J. Rivera Jacquez, MD PHD's National Provider Identifier is 1134910482, issued on May 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warner Robins, GA. The record was last updated on Jun 13, 2026.