Organization Active NPI

Rivera & Rivera Medical LLC

  • Nephrology Physician
  • Guaynabo, PR
National Provider Identifier
1861281552
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RIVERA & RIVERA MEDICAL LLC
Practice address
Ave. Arbolote #1, Suite 209
Guaynabo, PR 00969-2800
Phone
(787) 624-8154
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Alexis Rivera Gonzalez, M.D.NPI 1184147506
Title
President
Phone
(787) 610-5274

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

Ave. Arbolote #1, Suite 209
Guaynabo, PR 00969-2800

Mailing address

Urb. Entrerios
Via Enramada ER-67
Trujillo Alto, PR 00976-6166
Phone (787) 610-5274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250609003477 PR Part B Supplier - Clinic/Group Practice 8123538139 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

1 Ave Albolote
Ste 209
Guaynabo, PR 00969
Phone (787) 567-5554

Practitioners & affiliated clinicians

Practitioners 2

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": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1861281552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ENTRERIOS",
            "address_2": "VIA ENRAMADA ER-67",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766166",
            "telephone_number": "787-610-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ARBOLOTE #1, SUITE 209",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009692800",
            "telephone_number": "787-624-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA & RIVERA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA GONZALEZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-610-5274",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

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