Hector J Rivera Jacquez, MD PHD
Student in an Organized Health Care Education/Training Program in Warner Robins, Georgia
1134910482- Practice location
- 1601 Watson Blvd, Warner Robins, GA 31093-3431
- Phone
- 478-922-4281
- Fax
- —
- Last updated
- June 13, 2026
Hector J Rivera Jacquez is a Student in an Organized Health Care Education/Training Program based in Warner Robins, GA. Hector J Rivera Jacquez practices in Warner Robins, GA and has the professional credentials of MD PHD. The NPI Number for Hector J Rivera Jacquez is 1134910482 and holds a License No. 112769 (GA). The current practice location address for Hector J Rivera Jacquez is 1601 Watson Blvd, Warner Robins, GA 31093-3431 and can be reached out via phone at 478-922-4281.
Provider Profile Details
- NPI Number
- 1134910482
- Provider Name
- Hector J Rivera Jacquez
- Credential
- MD PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1601 Watson Blvd, Warner Robins, GA 31093-3431
- Phone Number
- 478-922-4281
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 15, 2025
- Last Update Date
- June 13, 2026
- Certification Date
- June 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1601 Watson Blvd
Warner Robins, GA 31093-3431 - City
- Warner Robins
- State
- Georgia
- Zip
- 31093-3431
- Phone Number
- 478-922-4281
Provider Business Mailing Address Details
- Address
- 1601 Watson Blvd
Warner Robins, GA 31093-3431 - City
- Warner Robins
- State
- GA
- Zip
- 31093-3431
- Phone Number
- 478-922-4281
License Information
- License Number (1)
- 112769
- License State (1)
- GA
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
- License Number (2)
- 17389-I
- License State (2)
- PR
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Hector J Rivera Jacquez, MD PHD?
The NPI number of Hector J Rivera Jacquez, MD PHD is 1134910482. It was assigned on May 15, 2025 and is currently active in the NPPES registry.
What is the specialty of Hector J Rivera Jacquez, MD PHD?
Hector J Rivera Jacquez, MD PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in GA under license number 112769.
Where does Hector J Rivera Jacquez, MD PHD practice?
The practice location is 1601 Watson Blvd, Warner Robins, GA 31093-3431. The office can be reached at 478-922-4281 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134910482 directly on the NPPES registry website.