Organization Active NPI

RN Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
National Provider Identifier
1760283832
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
RN ENDOCRINOLOGY LLC
Practice address
1507 Ave Ponce de Leon Apt 205
San Juan, PR 00909-2050
Phone
(787) 579-3028
NPI assigned
Mar 24, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Ivan Augusto Rivera, MD
Title
MD
Phone
(787) 312-7759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

1507 Ave Ponce de Leon Apt 205
San Juan, PR 00909-2050

Mailing address

RC1 Via Eufrates
Trujillo Alto, PR 00976-6011
Phone (787) 312-7759

Other practice location 1

500 Ave Degetau Ste 302
Caguas, PR 00725-7303
Phone (787) 579-3028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251119004386 PR Part B Supplier - Clinic/Group Practice 7618469446 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1760283832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RC1 VIA EUFRATES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766011",
            "telephone_number": "787-312-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON APT 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092050",
            "telephone_number": "787-579-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Ave Degetau Ste 302",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007257303",
            "country_code": "US",
            "telephone_number": "787-579-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RN ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "AUGUSTO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-312-7759",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.