Micol Hernandez Rivera, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3195 Issued in PR

Practice address

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

Phone

(787) 281-8106

NPI assigned

Mar 14, 2011

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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 and National Provider Directory roles.

• Micol Hernandez Rivera LLC

  • Periodontics
  • San Juan, PR
  • NPI 1083249122
  NPD Authorized official

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1114225232",
    "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",
            "address_2": "STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111873",
            "telephone_number": "787-281-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ RIVERA",
        "first_name": "MICOL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Nicol Hernandez Pagan
• Jose Miguel Hernandez Puig
• Isabel Maria Hernandez Ramos, PSY D
• Desire D Hernandez Reyes
• David Hernandez Rivera, MD
• Andrea Victoria Hernandez Robles
• Ingrid J Hernandez Rodriguez
• Mariela Maria Hernandez Rodriguez, DC
• Sophia Isabel Hernandez Rodriguez, MD
• Gabriel Alejandro Hernandez Roman, MD

• Periodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.

Verify at the official NPI Registry.