Organization Active NPI

Jose L Rivera Zayas Dental PSC

  • Dental Clinic/Center
  • San Juan, PR
National Provider Identifier
1790083301
Registry record updated Mar 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2107 Issued in PR
Legal business name
JOSE L RIVERA ZAYAS DENTAL PSC
Practice address
576 Calle Cesar Gonzalez
Suite 301
San Juan, PR 00918-3756
Phone
(787) 773-0123
NPI assigned
Mar 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2011

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

Authorized official

Name
Dr. Jose Luis Rivera Zayas, DMD
Title
President
Phone
(787) 773-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2107 PR Primary

Addresses

Primary practice location

576 Calle Cesar Gonzalez
Suite 301
San Juan, PR 00918-3756

Mailing address

PO Box 364881
San Juan, PR 00936-4881
Phone (787) 773-0123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299369600000",
    "number": "1790083301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364881",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364881",
            "telephone_number": "787-773-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ",
            "address_2": "SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183756",
            "telephone_number": "787-773-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L RIVERA ZAYAS DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-06",
        "last_updated": "2011-03-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA ZAYAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-773-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; 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.