Juan Rivera, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

995 Issued in PR

Practice address

53 Calle Garrido Morales E
Fajardo, PR 00738-4665

Phone

(787) 863-2549

Fax

(787) 852-4685

NPI assigned

Oct 14, 2005

Last updated

Oct 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Maxillofacial Surgery

Education

University of Puerto Rico School of Dentistry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JRC Maxillofacial Services,PSC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fajardo, PR
  • NPI 1689980682
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1073502860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381087",
            "telephone_number": "787-863-2549",
            "fax_number": "787-852-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE GARRIDO MORALES E",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384665",
            "telephone_number": "787-863-2549",
            "fax_number": "787-852-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis David Rivera-Davila, M.D.
• Rivera-Serrano Health LLC
• Edna Beatriz Rivera
• Esther Rivera, OTL
• Ileana Rivera, PSYCHOLOGIST
• Lourdes Graciela Rivera, MSW
• Lyneixa Rivera, CSW
• Mei-Ling Rivera, M.D.
• Nancy Rourer Rivera, PHARMACY TECHNICIAN
• Onica Emir Rivera, TF

• Oral and Maxillofacial Surgery (Dentist) in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.