Jibaro Medical Clinic PLLC
NPI 1194734319 · Internal Medicine Physician · Lakeside, AZ
Jibaro Medical Clinic PLLC is a Internal Medicine Physician organization in Lakeside, AZ (NPI 1194734319).
Provider details
- NPI number
- 1194734319
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mirza Rivera, Owner(923) 532-5838
- License
- 24947 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jibaro Medical Clinic PLLC's NPI number?
- Jibaro Medical Clinic PLLC's National Provider Identifier (NPI) is 1194734319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jibaro Medical Clinic PLLC?
- Jibaro Medical Clinic PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jibaro Medical Clinic PLLC located?
- Jibaro Medical Clinic PLLC's practice location on file with NPPES is 5658 Highway 260, Lakeside, AZ 85929-5189.
- What is Jibaro Medical Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jibaro Medical Clinic PLLC is (928) 532-5838.
- Who is the authorized official for Jibaro Medical Clinic PLLC?
- The authorized official listed on Jibaro Medical Clinic PLLC's NPPES record is Mirza Rivera, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jibaro Medical Clinic PLLC's NPI active?
- Yes — Jibaro Medical Clinic PLLC's NPI (1194734319) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.