David Orlando Rivera Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2130 Issued in PR

Practice address

Carr 3 KM 85.6
Edificio Plaza del Sol Local 5
Humacao, PR 00791-4714

Phone

(787) 850-8081

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1235221102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 241 STE. 104",
            "address_2": "295 PALMAS INN WAY",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007916030",
            "telephone_number": "787-850-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 85.6",
            "address_2": "EDIFICIO PLAZA DEL SOL LOCAL 5",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914714",
            "telephone_number": "787-850-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DAVID",
        "middle_name": "ORLANDO",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose A Rivera Vega, RN
• Pedro Antonio Rivera Vega, RN
• Alma V. Rivera, M.D.
• Andrea Gabriella Rivera, MS
• Carmelo Rivera, LPN
• Elizabeth Rivera, PHARMACIST
• Emmanuel Rivera, M.D.
• Gerhardt O Rivera, MD
• Jorge Rivera, M.D.
• Jose Pio Rivera Sr., DDS

• Dentist in Humacao, PR
• Providers in Humacao, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.