Individual provider Active NPI

Juan Simon Bojana Rivero, DMD

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1740127406
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN31770 Issued in FL
Practice address
3645 W 84TH St Ste 2
Hialeah, FL 33018-4985
Phone
(786) 284-2867
NPI assigned
Apr 30, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN31770 FL Primary

Addresses

Primary practice location

3645 W 84TH St Ste 2
Hialeah, FL 33018-4985

Mailing address

9367 W 33Rd Way
Hialeah, FL 33018-2053
Phone (786) 284-2867

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

State licenses

LicenseStateTypeSpecialty
DN31770FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1740127406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9367 W 33RD WAY",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182053",
            "telephone_number": "786-284-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 W 84TH ST STE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184985",
            "telephone_number": "786-284-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJANA RIVERO",
        "first_name": "JUAN",
        "middle_name": "SIMON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN31770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.