NPIMap

Organization Active NPI

Arevir Dental PSC

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1801166947
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2891 Issued in PR
Legal business name
AREVIR DENTAL PSC
Practice address
Atrium Office Center 530 de la Concecion Ave
Suite 316
San Juan, PR 00901
Phone
(787) 209-7898
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Jayson Xavier Rivera, D.M.D.
Title
Ceo
Phone
(787) 209-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2891 PR Primary

Addresses

Primary practice location

Atrium Office Center 530 de la Concecion Ave
Suite 316
San Juan, PR 00901

Mailing address

Cond Parque de Loyola Torre Norte
Apt 1905
San Juan, PR 00918
Phone (787) 209-7898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1801166947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND PARQUE DE LOYOLA TORRE NORTE",
            "address_2": "APT 1905",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-209-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATRIUM OFFICE CENTER 530 DE LA CONCECION AVE",
            "address_2": "SUITE 316",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-209-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREVIR DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-209-7898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2891",
            "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 Jan 6, 2012; 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.