Ricardo J Bravo, DMD
Individual provider Active NPI General Practice Dentistry · Juncos, PR
NPI 1508929894 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1508929894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1704 (PR)
- Practice address
- 51 Calle Munoz Rivera
Juncos, PR 00777-3469 - Phone
- (787) 734-1575
- Fax
- (787) 734-1575
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160804002102 | PR | Order and Referring Only - Dentist |
6002100641 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bravo Dental LLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1704 | PR | Yes |
Addresses
Primary practice location
51 Calle Munoz Rivera
Juncos, PR 00777-3469
Mailing address
PO Box 403
Juncos, PR 00777-0403
Phone (787) 734-1575
Other names
- Dr. Ricardo J Bravo
Other providers in Juncos, PR
- Edda Liz Bautista Perez
- Nannette Berrios
- Edith Rose Bezares
- Bravo Dental LLC
- Ricardo A Bravo
- Diana Bunker
- C&F Acupuncture Services, Inc.
- Janice Caceres
- Dilmarie Camps
- Cardio and Vascular Unlimited Services C.S.P
All providers in Juncos, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.