Omar Rivera, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2524 Issued in PR

Practice address

Bo Quebradillas
Carr 152 KM 7.6
Barranquitas, PR 00794

Phone

(787) 370-4346

NPI assigned

Mar 17, 2006

Last updated

May 16, 2024By the provider in NPPES

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

Other names 1

• Dr. Omar Rivera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Senor de Los Dientes LLC

  • General Practice Dentistry
  • Barranquitas, PR
  • NPI 1588535173
  NPD (past)
• Omar El Dentista LLC

  • General Practice Dentistry
  • Barranquitas, PR
  • NPI 1952140642
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1457310633",
    "addresses": [
        {
            "country_code": "UY",
            "country_name": "Uruguay",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "HC-71 BOX 3278",
            "city": "NARANJITO",
            "state": "PUERTO RICO",
            "postal_code": "00719",
            "telephone_number": "787-870-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO QUEBRADILLAS",
            "address_2": "CARR 152 KM 7.6",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "00794",
            "telephone_number": "787-370-4346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dd3 Calle 24",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009595854",
            "country_code": "US",
            "telephone_number": "787-787-4360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMAR",
            "last_name": "RIVERA",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carlos J Rivera
• Etanislao Rivera, PHARMACIST
• Eugenio Rivera, MT
• Lysamar Rivera
• Maria S Rivera
• Tannia Rivera, PHARMD
• Yamalis Rivera, MPSY
• Carlos Jose Rodriguez Ortiz, DSW
• Edwin Oscar Rodriguez, D.D.S.
• Hector A. Rodriguez, RPH

• General Practice Dentistry in Barranquitas, PR
• Providers in Barranquitas, 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 May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.