Provider Demographics
NPI:1861281552
Name:RIVERA & RIVERA MEDICAL LLC
Entity type:Organization
Organization Name:RIVERA & RIVERA MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-610-5274
Mailing Address - Street 1:URB. ENTRERIOS
Mailing Address - Street 2:VIA ENRAMADA ER-67
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6166
Mailing Address - Country:US
Mailing Address - Phone:787-610-5274
Mailing Address - Fax:
Practice Address - Street 1:AVE. ARBOLOTE #1, SUITE 209
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-2800
Practice Address - Country:US
Practice Address - Phone:787-624-8154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty