Individual provider Active NPI

Carmen Myriam Rivera-Negron, DMD

  • Dentist
  • Guaynabo, PR
National Provider Identifier
1609165182
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1312 Issued in PR
Practice address
6 Ave Esmeralda
Urb Ponce de Leon
Guaynabo, PR 00969-4427
Phone
(787) 599-2002
Fax
(787) 287-3190
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1312 PR Primary

Addresses

Primary practice location

6 Ave Esmeralda
Urb Ponce de Leon
Guaynabo, PR 00969-4427

Mailing address

F4 Calle Trevi
Paseo la Fuente
San Juan, PR 00926-6472
Phone (787) 599-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1609165182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "F4 CALLE TREVI",
            "address_2": "PASEO LA FUENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266472",
            "telephone_number": "787-599-2002",
            "fax_number": "787-287-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 AVE ESMERALDA",
            "address_2": "URB PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694427",
            "telephone_number": "787-599-2002",
            "fax_number": "787-287-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-NEGRON",
        "first_name": "CARMEN",
        "middle_name": "MYRIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.