Organization Active NPI

JRL Dental Services

  • Dentist
  • Caguas, PR
National Provider Identifier
1386371409
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JRL DENTAL SERVICES
Practice address
Ave Luis Munoz Marin, Villa Carmen
I-20
Caguas, PR 00972
Phone
(787) 258-4090
NPI assigned
Aug 8, 2022
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Junarys Rivera Lebron, DMDNPI 1790366474
Title
President
Phone
(787) 585-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

Ave Luis Munoz Marin, Villa Carmen
I-20
Caguas, PR 00972

Mailing address

PO Box 1090
Yabucoa, PR 00767-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221223001165 PR Part B Supplier - Clinic/Group Practice 2062882624 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

I20 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 258-4090

I20 Ave Luis Munoz Marin
#C
Caguas, PR 00725
Phone (787) 258-4090

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1386371409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007671090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN, VILLA CARMEN",
            "address_2": "I-20",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00972",
            "telephone_number": "787-258-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRL DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "RIVERA LEBRON",
        "authorized_official_first_name": "JUNARYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-585-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.