Individual provider Active NPI

Maribel Rivera, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1801870217
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2160 Issued in PR
Practice address
Ave Betances 181a
Hermanas Davila
Bayamon, PR 00959-5183
Phone
(787) 785-8737
Fax
(787) 785-3859
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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 2160 PR Primary

Addresses

Primary practice location

Ave Betances 181a
Hermanas Davila
Bayamon, PR 00959-5183

Mailing address

Ave Betances 181a
Hermanas Davila
Bayamon, PR 00959-5183
Phone (787) 785-8737

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
I20160225000765 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0840595492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1801870217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE BETANCES 181A",
            "address_2": "HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595183",
            "telephone_number": "787-785-8737",
            "fax_number": "787-785-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BETANCES 181A",
            "address_2": "HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595183",
            "telephone_number": "787-785-8737",
            "fax_number": "787-785-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARIBEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.