Active NPIIndividual providerSole proprietor

Juan Rivera, DMD

Dentist, Oral and Maxillofacial Surgery in Fajardo, Puerto Rico

NPI Number1073502860
Practice location
53 Calle Garrido Morales E, Fajardo, PR 00738-4665
Fax
787-852-4685
Last updated
October 6, 2011

Juan Rivera is a Dentist, Oral and Maxillofacial Surgery based in Fajardo, PR. Juan Rivera practices in Fajardo, PR and has the professional credentials of DMD. The NPI Number for Juan Rivera is 1073502860 and holds a License No. 995 (PR). The current practice location address for Juan Rivera is 53 Calle Garrido Morales E, Fajardo, PR 00738-4665 and can be reached out via phone at 787-863-2549 and via fax at 787-852-4685.

Provider Profile Details

NPI Number
1073502860
Provider Name
Juan Rivera
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
53 Calle Garrido Morales E, Fajardo, PR 00738-4665
Phone Number
787-863-2549
Fax Number
787-852-4685
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
October 14, 2005
Last Update Date
October 6, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
53 Calle Garrido Morales E
Fajardo, PR 00738-4665
Zip
00738-4665
Phone Number
787-863-2549
Fax Number
787-852-4685
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
Po Box 1087
Fajardo, PR 00738-1087
City
Fajardo
State
PR
Zip
00738-1087
Phone Number
787-863-2549
Fax Number
787-852-4685

License Information

License Number
995
License State
PR
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Juan Rivera, DMD?

The NPI number of Juan Rivera, DMD is 1073502860. It was assigned on October 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Juan Rivera, DMD?

Juan Rivera, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in PR under license number 995.

Where does Juan Rivera, DMD practice?

The practice location is 53 Calle Garrido Morales E, Fajardo, PR 00738-4665. The office can be reached at 787-863-2549 (phone) or 787-852-4685 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073502860 directly on the NPPES registry website.

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