Individual provider Active NPI

Cindy Suarez Rivera, DMD

  • Dentist
  • Anasco, PR
National Provider Identifier
1689840860
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2805 Issued in PR
Practice address
1 Carr 402
Anasco, PR 00610-2017
Phone
(787) 247-2332
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054372-1 NY
Dentist 122300000X 2805 PR Primary

Addresses

Primary practice location

1 Carr 402
Anasco, PR 00610-2017

Mailing address

Carr 402 KM 1.8
Anasco, PR 00610-9564
Phone (787) 247-2332

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130603000364 PR Practitioner - Oral Surgery 5395933055 Practice locations: Anasco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054372-1NYMDDentist
2805PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Smile Dental Clinic LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1689840860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 402 KM 1.8",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006109564",
            "telephone_number": "787-247-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARR 402",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102017",
            "telephone_number": "787-247-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ RIVERA",
        "first_name": "CINDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054372-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.