Juan Rafael Rivera Diaz, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3307 Issued in PR

Practice address

6 Calle Flor Gerena Norte
Humacao, PR 00791

Phone

(787) 852-4685

NPI assigned

Dec 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

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

• JRC Maxillofacial Services,PSC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fajardo, PR
  • NPI 1689980682

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1831661941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381087",
            "telephone_number": "787-852-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE FLOR GERENA NORTE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DIAZ",
        "first_name": "JUAN",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "3307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose A Rios Collazo, MD
• Frances L Rivas Diaz
• Jadeyra Rivas Vargas, M.D.
• Efrain Rivera Abreu, MSW
• Frances Rivera Cruz
• Roberto Sharif Rivera Espinosa
• Angel Jose Rivera Gomez, PSY-D
• Diomara Beatriz Rivera Laboy, SPEECH THERAPIST
• Gina Liz Rivera Lao
• Nilda Ebony Rivera Ortiz

• All providers in Humacao, PR
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.