Rivera-Revilla Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1293 Issued in PR

Legal business name

RIVERA-REVILLA LAB LLC

Doing business as

Laboratorio Clinico Yenimaris

Practice address

Plaza Guzman Ave 65 Ins KM 11.0
Carolina, PR 00985

Phone

(787) 691-9595

NPI assigned

Dec 12, 2012

Last updated

Nov 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yenirma Rivera

Title

President

Phone

(787) 768-3400

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Yenimaris Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1588909915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANS DE CAROLINA MARQUESA ST",
            "address_2": "#GG-6",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-768-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA GUZMAN AVE 65 INS KM 11.0",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-691-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA-REVILLA LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "YENIRMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-768-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Yenimaris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Isabel Rivera-Gonzalez, MS
• Catelyn Rivera-Hernandez, MSW
• Arcilia Rivera-Jimenez, MS, OT
• Julia Rivera-Mojica, BSN, RN
• Nestor Rivera-Perez, M.D.
• Nahir Marie Rivera-Robles, PHARM.D
• Hectmarie Rivera-Santiago, MSW
• Miguel Angel Rivera-Viera, M.D.
• Abigail Rivera, RN, BSN, MSN
• Bianca Rivera, MD

• Clinical Medical Laboratory in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.