OrganizationActive
River of Life Medical, LLC
NPI 1710241245 · Primary Care Clinic/Center · Dorchester, MA
Provider details
- NPI number
- 1710241245
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Cagua-Koo, Owner(617) 596-1092
- License
- 247965 (MA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1370 Dorchester Ave Ste 21
Dorchester, MA 02122-2921
Phone: (617) 596-1092
Street-level locationGet directions
Mailing address
1370 Dorchester Ave Ste 21
Dorchester, MA 02122-2921
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2012-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.