Lisvette M. Rivera-Malave, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19288 Issued in TX

Practice address

20322 Huebner Rd
Suite 103
San Antonio, TX 78258

Phone

(210) 491-4141

Fax

(210) 494-4025

NPI assigned

May 23, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sopd PLLC

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1629372602
  NPD (past)
• Susie S. Hayden D.D.S., PA

  • Pediatric Dentistry
  • San Antonio, TX
  • NPI 1962618074
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154531663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20322 HUEBNER RD",
            "address_2": "SUITE # 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-491-4141",
            "fax_number": "210-494-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20322 HUEBNER RD",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-491-4141",
            "fax_number": "210-494-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-MALAVE",
        "first_name": "LISVETTE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Natasha Rivera Soza
• Vena Rivera-Brown
• Solomon Rivera-Casanova
• Enrique Modesto Rivera-Cortes
• Lauri Eleanor Rivera-Cortes, NURSE PRACTITIONER
• Marina Gloria Rivera-Ridens, MS, RD, LD
• Jessica Rivera-Robles, O.D.
• Hilda M Rivera-Santiago, M.D.
• Adelita B. Rivera
• Alexa R Rivera, SLP-ASSISTANT

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.