Christian Jose Rivera de Pena, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3276 Issued in PR

Practice address

82 Calle Ashford N
Guayama, PR 00784

Phone

(787) 314-7212

NPI assigned

Feb 24, 2017

Last updated

Jan 7, 2025By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perioimplantpr

  • Periodontics
  • Bayamon, PR
  • NPI 1184342925
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1841730868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CALLE ASHFORD N",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 CALLE ASHFORD N",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-314-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA DE PENA",
        "first_name": "CHRISTIAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-24",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rey N Santiago (Santiago Ambulance)
• Angel Jose Reyes Aponte, MD
• Melanie Rivera Collazo, MD
• Julinette Rivera de Jesus
• Hiram Rivera de Leon, PA
• Sharlene Rivera Gonzalez, PHARM.D.
• Jose V Rivera Irizarry, M.D.
• Rivera Medical System LLC.
• Ramon C Rivera Morales Sr., MD
• Jose Rivera Rivera, DDS

• General Practice Dentistry in Guayama, PR
• Providers in Guayama, 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 Jan 7, 2025; 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.