Individual provider Active NPI

Nelson Eric Torres-Rivera

  • General Practice Dentistry
  • San Lorenzo, PR
National Provider Identifier
1740330802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1578 Issued in PR
Practice address
Calle Colon Num. 2 Oeste
San Lorenzo, PR 00754-3407
Phone
(787) 736-2338
Fax
(787) 715-2369
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1578 PR Primary

Addresses

Primary practice location

Calle Colon Num. 2 Oeste
San Lorenzo, PR 00754-3407

Mailing address

Calle Colon Num. 2 Oeste
San Lorenzo, PR 00754-3407
Phone (787) 736-2338

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
I20160601000118 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244520476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1578PRMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740330802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE COLON NUM. 2 OESTE",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543407",
            "telephone_number": "787-736-2338",
            "fax_number": "787-715-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE COLON NUM. 2 OESTE",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007543407",
            "telephone_number": "787-736-2338",
            "fax_number": "787-715-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-RIVERA",
        "first_name": "NELSON",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.