NPIMap

Organization Active NPI

Micol Hernandez Rivera LLC

  • Periodontics
  • San Juan, PR
National Provider Identifier
1083249122
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MICOL HERNANDEZ RIVERA LLC
Practice address
1959 Calle Loiza Ste 301
San Juan, PR 00911-1873
Phone
(787) 281-8106
NPI assigned
Mar 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Micol Hernandez Rivera, D.M.D.NPI 1114225232
Title
Owner
Phone
(787) 281-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1959 Calle Loiza Ste 301
San Juan, PR 00911-1873

Mailing address

1959 Calle Loiza Ste 301
San Juan, PR 00911-1873
Phone (787) 281-8106

National Provider Directory

National Provider Directory

Locations

1959 Calle Loiza
Ste 301
San Juan, PR 00911
Phone (787) 281-8106

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1083249122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 CALLE LOIZA STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111873",
            "telephone_number": "787-281-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 CALLE LOIZA STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111873",
            "telephone_number": "787-281-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICOL HERNANDEZ RIVERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ RIVERA",
        "authorized_official_first_name": "MICOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-281-8106",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.