Active NPI
Angel Ernesto Rivera, DDS
- General Practice Dentistry
- Lajas, PR
National Provider Identifier
1104805746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2220
- Practice address
- #12 Union Esq San Blas
Lajas, PR 00667 - Phone
- (787) 899-7717
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2220 | PR | Primary |
Addresses
Primary practice location
#12 Union Esq San Blas
Lajas, PR 00667
Mailing address
#823 Calle Duende Urb San Antonio
Ponce, PR 00728-1615
Phone (787) 899-7717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1104805746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#823 CALLE DUENDE URB SAN ANTONIO",
"city": "PONCE",
"state": "PR",
"postal_code": "007281615",
"telephone_number": "787-899-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#12 UNION ESQ SAN BLAS",
"city": "LAJAS",
"state": "PR",
"postal_code": "00667",
"telephone_number": "787-899-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANGEL",
"middle_name": "ERNESTO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lajas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.