Miguel A Rivera Diaz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1784 Issued in PR

Practice address

Urb. Baralt
Ave. Principal I - 8
Fajardo, PR 00738

Phone

(787) 863-1865

NPI assigned

Dec 8, 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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396804902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 66",
            "address_2": "BOX 10335",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00073",
            "telephone_number": "787-863-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BARALT",
            "address_2": "AVE. PRINCIPAL I - 8",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DIAZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rijo Aristy Medical Services LLC
• Maribel Rijos - Cruz, NURSE
• Gretchen Rios-Garcia
• Michelle Sophia Rios, MA
• Steven Rivas, M.D.
• Wilfredo R Rivera Esquerdo, DPM
• Ricardo Rene Rivera Fernandez, M.D.
• Dimayra Rivera Lopez, PHD
• Lydia M. Rivera Medina, OTR/L
• Efren Rivera Santiago, MD

• General Practice Dentistry in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.