Active NPI
Melissa Rivera DDS PA
- Dentist
- San Juan, TX
National Provider Identifier
1093044539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MELISSA RIVERA DDS PA
- Practice address
- 4500 N Raul Longoria Street
San Juan, TX 78589 - Phone
- (956) 787-9866
- Fax
- (956) 787-8588
- NPI assigned
- Dec 11, 2009
- Last updated
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Rivera
- Title
- Dentist
- Phone
- (956) 787-9866
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
4500 N Raul Longoria Street
San Juan, TX 78589
Mailing address
4500 N Raul Longoria
PO Box 186
San Juan, TX 78589-0186
Phone (956) 787-9866
National Provider Directory
National Provider DirectoryLocations
4500 N Raul Longoria Rd
San Juan, TX 78589
Phone (956) 787-9866
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- San Juan, TX
- NPI 1568522266
-
- Dentist
- San Juan, TX
- NPI 1992933402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269907200000",
"number": "1093044539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 N RAUL LONGORIA",
"address_2": "PO BOX 186",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785890186",
"telephone_number": "956-787-9866",
"fax_number": "956-787-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 N RAUL LONGORIA STREET",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "78589",
"telephone_number": "956-787-9866",
"fax_number": "956-787-8588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA RIVERA DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-11",
"last_updated": "2010-03-30",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "956-787-9866"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, TX
- Amanda Carter McVean, SLP
- Med-Tro Equipment and Medical Supplies, LLC
- Carlos Arnaldo Medina, MD
- Ricardo Medina Jr., PHARM. D
- Mejor Vida Adult Day Care, LLC
- Jose Luis Mendez Jr., CONTRACTOR
- Rigo Lee Mendoza
- Mercy Rehab Services, Inc. (Mercy Kids Rehab)
- Mermaid Walking Inc (Divine Pharmacy #2)
- Mermaid Walking Inc (Divine Pharmacy #2)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.