Individual provider Active NPI

Junarys Rivera Lebron

  • Dentist
  • Caguas, PR
National Provider Identifier
1790366474
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3408 Issued in PR
Practice address
I20 Ave Luis Munoz Marin
Caguas, PR 00725-6161
Phone
(787) 258-4090
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3408 PR Primary

Addresses

Primary practice location

I20 Ave Luis Munoz Marin
Caguas, PR 00725-6161

Mailing address

PO Box 1090
Yabucoa, PR 00767-1090

Other practice location 1

1072 Carr. #5 Ave. Central Juanita Final
Bayamon, PR 00960
Phone (787) 488-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221223001176 PR Practitioner - Dentist 3971973538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3408PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
JRL Dental Services Dentist CurrentSince Nov 7, 2022 Accepting new patients

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

Organizations & group practices 1

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1790366474",
    "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": "I20 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256161",
            "telephone_number": "787-258-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 Carr. #5 Ave. Central Juanita Final",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00960",
            "country_code": "US",
            "telephone_number": "787-488-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA LEBRON",
        "first_name": "JUNARYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.