Individual provider Active NPI

Leslie Yaren Rivera Roman

  • Internal Medicine Physician
  • Camuy, PR
National Provider Identifier
1962070086
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22343 Issued in PR
Practice address
Bo Membrillo Solares Lugo Carr 2 K 92 in
Camuy, PR 00627-9713
Phone
(787) 240-5279
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22343 PR Primary

Addresses

Primary practice location

Bo Membrillo Solares Lugo Carr 2 K 92 in
Camuy, PR 00627-9713

Mailing address

HC 3 Box 11509
Camuy, PR 00627-9713
Phone (787) 240-5279

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002045 PR Practitioner - General Practice 4082003470 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22343PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1962070086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 11509",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279713",
            "telephone_number": "787-240-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MEMBRILLO SOLARES LUGO CARR 2 K 92 IN",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279713",
            "telephone_number": "787-240-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ROMAN",
        "first_name": "LESLIE",
        "middle_name": "YAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "22343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.