Individual provider Active NPI

Llelenys Paola Rivera Rivera, DMD

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1790201838
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
3509 Issued in PR
Practice address
1738 Calle Amarillo
Edf. Summit, Ste. 104
San Juan, PR 00926-3072
Phone
(787) 340-8691
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 35834 TX
Prosthodontics 1223P0700X 3509 PR Primary

Addresses

Primary practice location

1738 Calle Amarillo
Edf. Summit, Ste. 104
San Juan, PR 00926-3072

Mailing address

PO Box 417
Trujillo Alto, PR 00977-0417
Phone (787) 340-8691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3509PRMDProsthodontist
35834TXMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rivera Rivera Dental LLC Prosthodontics CurrentSince Sep 21, 2025 Accepting new patients
Richmond Landing Family Dentistry PA PastSince Feb 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1790201838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009770417",
            "telephone_number": "787-340-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 CALLE AMARILLO",
            "address_2": "EDF. SUMMIT, STE. 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263072",
            "telephone_number": "787-340-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA RIVERA",
        "first_name": "LLELENYS",
        "middle_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "35834",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "3509",
            "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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.