Aida I Rivera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1957 Issued in PR

Practice address

48 Calle Rafael Lasa
Aguas Buenas, PR 00703-3321

Phone

(787) 732-3577

Fax

(787) 732-3577

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1801943097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1212",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007031212",
            "telephone_number": "787-732-3577",
            "fax_number": "787-732-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CALLE RAFAEL LASA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033321",
            "telephone_number": "787-732-3577",
            "fax_number": "787-732-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "AIDA",
        "middle_name": "I",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "400136",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "41912RI",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL CARD SYSTEM",
            "identifier": "7048",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED HEALTH",
            "identifier": "206282",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel Rios
• Yarixa Rios
• Janice Rivera Martinez
• Neishmarie Rivera Perez, MSW
• Elsa Rivera-Perez
• Aixa Torres Rivera, D.O
• Camille Rivera, CNM
• Maria M Rivera, LIC
• Nery D. Rivera, MD
• Yeritza Michelle Rodriguez Valle, DMD

• General Practice Dentistry in Aguas Buenas, PR
• Providers in Aguas Buenas, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.