Nannette Lorraine Rickenbach, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2455 Issued in PR

Practice address

Humacao Medical Plaza Suite 201
Calla Font Martelo #53
Humacao, PR 00791-3634

Phone

(787) 852-6976

Fax

(787) 852-6976

NPI assigned

Aug 1, 2006

Sex

Female

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: 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1649286196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUMACOA MEDICAL PLAZA",
            "address_2": "53 CALLE FONT MARTELO E SUITE 201",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913634",
            "telephone_number": "787-852-6976",
            "fax_number": "787-852-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUMACAO MEDICAL PLAZA SUITE 201",
            "address_2": "CALLA FONT MARTELO #53",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913634",
            "telephone_number": "787-852-6976",
            "fax_number": "787-852-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKENBACH",
        "first_name": "NANNETTE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Respira Medical and Wellness Center
• Arnaldo Reyes-Ortiz, M. D.
• Cesar A Reyes, M.D.
• Diannette Reyes, MSW, LCSW
• Luis Manuel Reyes, MD
• Carlos A Rigau, D.M.D.
• Ringeight Corp
• Maria L. Rios Bonilla, MD
• Jose A Rios Collazo, MD
• Frances L Rivas Diaz

• All providers in Humacao, PR
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.