Active NPI
Nydia Ribot
- General Practice Dentistry
- Fajargo, PR
National Provider Identifier
1104886027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1368
- Practice address
- Calle Diego Zalduonde
#316 Veve
Fajargo, PR 00738 - Phone
- (787) 863-9424
- Fax
- (787) 801-0859
- NPI assigned
- Mar 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 1368 | PR | Primary |
Addresses
Primary practice location
Calle Diego Zalduonde
#316 Veve
Fajargo, PR 00738
Mailing address
PO Box 1245
Fajardo, PR 00738
Phone (787) 863-9424
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150817001000 | PR | Order and Referring Only - Dentist | 5092020321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1368 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104886027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1245",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-9424",
"fax_number": "787-801-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DIEGO ZALDUONDE",
"address_2": "#316 VEVE",
"city": "FAJARGO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-863-9424",
"fax_number": "787-801-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBOT",
"first_name": "NYDIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.