Bonifacio Rivera-Virella, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1370 Issued in PR

Practice address

Clinicas Externas Asem - Cirugia Oral Y Maxilofacial
Centro Medico de PR, Bo. Monacillos
Rio Piedras, PR 00935

Phone

(787) 777-3535

Fax

(787) 751-0858

NPI assigned

Aug 24, 2005

Sex

Male

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-Cirugia Oral y Maxilofacial

  • Oral & Maxillofacial Surgery (D.M.D.)
  • San Juan, PR
  • NPI 1205868676
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• Departamento de Salud Oficial

  • General Acute Care Hospital
  • Rio Piedras, PR
  • NPI 1407859036
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1396738571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CIRUGIA ORAL Y MAXILOFACIAL RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-758-2525",
            "fax_number": "787-751-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICAS EXTERNAS ASEM - CIRUGIA ORAL Y MAXILOFACIAL",
            "address_2": "CENTRO MEDICO DE PR, BO. MONACILLOS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-777-3535",
            "fax_number": "787-751-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-VIRELLA",
        "first_name": "BONIFACIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enid Rivera - Jimenez, MD
• Mayra Rivera Figueroa, M.D.
• Maribel Rivera Molina
• Zoraida Rivera Molina, MD
• Juana I. Rivera-Vinas, MD, MHSA,
• Amarilis Rivera, M.D.
• Carmen M Rivera, OTR
• Irma Rivera, M.D.
• Marinilda Rivera, MSW, ACSW
• Milagros Rivera

• Oral and Maxillofacial Surgery (Dentist) in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.