Individual provider Active NPI

Brenda L Torres Rivera, DMD

  • Prosthodontics
  • Carolina, PR
National Provider Identifier
1245276914
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2405 Issued in PR
Practice address
30 Calle Jupiter
Atlantic View
Carolina, PR 00979-4835
Phone
(787) 268-1898
Fax
(787) 268-1889
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2405 PR Primary

Addresses

Primary practice location

30 Calle Jupiter
Atlantic View
Carolina, PR 00979-4835

Mailing address

PG80 Via Arcoiris
Pacifica Encatada
Trujillo Alto, PR 00976-6195
Phone (787) 268-1898

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161203000280 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0941580294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda L. Torres Rivera Dental Practice, PSC Prosthodontics Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1245276914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PG80 VIA ARCOIRIS",
            "address_2": "PACIFICA ENCATADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766195",
            "telephone_number": "787-268-1898",
            "fax_number": "787-268-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE JUPITER",
            "address_2": "ATLANTIC VIEW",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009794835",
            "telephone_number": "787-268-1898",
            "fax_number": "787-268-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RIVERA",
        "first_name": "BRENDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.