Mariano De la Riva, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19967 Issued in FL

Practice address

7450 SW 57TH Ave
#A
South Miami, FL 33143-5302

Phone

(650) 380-8872

NPI assigned

Jan 28, 2011

Last updated

Sep 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Siesta Dental LLC

  • Dentist
  • Osprey, FL
  • NPI 1235090366
  NPD Authorized official

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1821394446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19380 COLLINS AVE",
            "address_2": "APT. 1720",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602239",
            "telephone_number": "650-380-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 SW 57TH AVE",
            "address_2": "#A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435302",
            "telephone_number": "650-380-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA RIVA",
        "first_name": "MARIANO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10368",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahily De Castro, LCSW
• Jose A De Jesus, DC
• Manuel De la Cruz Seoane
• Javier De la Fuente Balboa, DMD
• Adriel De la Paz
• Zoany De la Rosa, DDS
• Kristen Monique De la Rua, LMT
• Rafael Antonio De la Vega, MD
• Brady De Las Nueces, MD
• Carmen Luz De Lerma, M.D.

• Dentist in South Miami, FL
• Providers in South Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.