Individual provider Active NPI

Victor Antonio Rivera Mendez, DMD, MS

  • Prosthodontics
  • Bayamon, PR
National Provider Identifier
1154808228
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
3283 Issued in PR
Practice address
66 Calle Santa Cruz Suite 103
San Pablo
Bayamon, PR 00961
Phone
(787) 925-1665
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 3283 PR Primary

Addresses

Primary practice location

66 Calle Santa Cruz Suite 103
San Pablo
Bayamon, PR 00961

Mailing address

600 Ave Jesus T Pinero Apt 1104
San Juan, PR 00918-4173
Phone (787) 613-0433

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
VRM Prosthodontics Prosthodontics Current Accepting new patients
Arias Berrios Grupo Dental LLC PastSince Jun 27, 2021 Accepting new patients
GC Periodontics LLC PastSince Oct 6, 2024 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1154808228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 AVE JESUS T PINERO APT 1104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184173",
            "telephone_number": "787-613-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTA CRUZ SUITE 103",
            "address_2": "SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-925-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MENDEZ",
        "first_name": "VICTOR",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "3283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.