Organization Active NPI

Md360 LLC

Doing business as LVR Dermatology Clinic

  • Dermatology Physician
  • Ponce, PR
National Provider Identifier
1861305922
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MD360 LLC
Doing business as
LVR Dermatology Clinic
Practice address
2225 Ponce Byp
Ponce, PR 00717-1321
Phone
(787) 849-0956
Fax
(787) 812-0910
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Dr. Lillian Victoria Rivera, MD
Title
Owner
Phone
(787) 717-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

2225 Ponce Byp
Ponce, PR 00717-1321

Mailing address

2919 Calle Guilarte
Ponce, PR 00716-4805
Phone (787) 717-2925

Other practice location 1

2225 Ponce Byp
Ponce, PR 00717-1321
Phone (787) 717-2925

Other names 1

  • LVR DERMATOLOGY CLINIC Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1861305922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 CALLE GUILARTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164805",
            "telephone_number": "787-717-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-849-0956",
            "fax_number": "787-812-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Ponce Byp",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007171321",
            "country_code": "US",
            "telephone_number": "787-717-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MD360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-717-2925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LVR DERMATOLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.