# DR. JORGE L RIVERA MIRABAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720489446
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 024645 | PR | — |
| 208600000X | Surgery Physician | BP10056345 | TX | — |
| 208800000X | Urology Physician | 024645 | PR | Yes |
| 208800000X | Urology Physician | BP10056345 | TX | — |
| 208800000X | Urology Physician | ME153764 | FL | — |

## Other

- **Enumeration date:** 09/12/2014
- **Last updated:** 10/10/2025