Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hector J Rivera Jacquez, MDPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134910482

Hector J Rivera Jacquez, MDPHD is a Student in an Organized Health Care Education/Training Program in Warner Robins, Georgia. Works from 2 locations. Licensed in Georgia and Puerto Rico.

Licensed in
GA, PR
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone: (478) 922-4281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 112769 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 17389-I (PR)

Record details

NPI number1134910482
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedMay 15, 2025
Last updated in NPPESJune 13, 2026
Certification dateJune 13, 2026
Mailing address1601 Watson Blvd, Warner Robins, GA 31093-3431

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