Provider Demographics
NPI:1760283832
Name:RN ENDOCRINOLOGY LLC
Entity type:Organization
Organization Name:RN ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:AUGUSTO
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-312-7759
Mailing Address - Street 1:RC1 VIA EUFRATES
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6011
Mailing Address - Country:US
Mailing Address - Phone:787-312-7759
Mailing Address - Fax:
Practice Address - Street 1:1507 AVE PONCE DE LEON APT 205
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2050
Practice Address - Country:US
Practice Address - Phone:787-579-3028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty