NPIMap

Organization Active NPI

Dra Lina N Rivera Rivera PSC

  • General Practice Dentistry
  • Juncos, PR
National Provider Identifier
1649859448
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRA LINA N RIVERA RIVERA PSC
Practice address
36 Calle Martinez Ste 1
Juncos, PR 00777-3671
Phone
(787) 918-2703
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Lina Nanette Rivera Rivera, DMDNPI 1760908743
Title
Dentist
Phone
(787) 918-2703

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

36 Calle Martinez Ste 1
Juncos, PR 00777-3671

Mailing address

185 Altos de Ciudad Jardin
Gurabo, PR 00778-9101
Phone (787) 918-2703

Other practice location 1

1111 Ave Teniente Cesar Gonzalez
San Juan, PR 00927
Phone (787) 765-2929

Other practice location 2

BB25 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 787-9043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230424002868 PR Part B Supplier - Clinic/Group Practice 8527423607 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

36 Calle Martinez
Ste 1
Juncos, PR 00777
Phone (787) 918-2703

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1649859448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ALTOS DE CIUDAD JARDIN",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789101",
            "telephone_number": "787-918-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CALLE MARTINEZ STE 1",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773671",
            "telephone_number": "787-918-2703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Ave Teniente Cesar Gonzalez",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-765-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "BB25 Ave Santa Juanita",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00956",
            "country_code": "US",
            "telephone_number": "787-787-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRA LINA N RIVERA RIVERA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA RIVERA",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "NANETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-918-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.