Individual provider Active NPI

Rolando Torres-Rivera, D.M.D.

  • General Practice Dentistry
  • Dorado, PR
National Provider Identifier
1376510727
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1587 Issued in PR
Practice address
522 Calle Ext S
Dorado, PR 00646-5014
Phone
(787) 796-4344
Fax
(787) 278-5679
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1587 PR Primary

Addresses

Primary practice location

522 Calle Ext S
Dorado, PR 00646-5014

Mailing address

522 Calle Ext S
Dorado, PR 00646-5014
Phone (787) 796-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151026000054 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486963808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1587PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1376510727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CALLE EXT S",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465014",
            "telephone_number": "787-796-4344",
            "fax_number": "787-278-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CALLE EXT S",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006465014",
            "telephone_number": "787-796-4344",
            "fax_number": "787-278-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-RIVERA",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.