Active NPI
Zelideth Rivera, D.M.D.
- Endodontics
- Ponce, PR
National Provider Identifier
1851684534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2906
- Practice address
- 609 Calle Ferrocarril
Ext Santa Maria
Ponce, PR 00717-1110 - Phone
- (787) 841-4911
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2906 | PR | |
| Endodontics | 1223E0200X | 2906 | PR | Primary |
Addresses
Primary practice location
609 Calle Ferrocarril
Ext Santa Maria
Ponce, PR 00717-1110
Mailing address
609 Ave Tito Castro
Suite 102 PMB 388
Ponce, PR 00716-0200
Phone (787) 841-4911
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200130002581 | PR | Order and Referring Only - Dentist | 1658523345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2906 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1851684534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 AVE TITO CASTRO",
"address_2": "SUITE 102 PMB 388",
"city": "PONCE",
"state": "PR",
"postal_code": "007160200",
"telephone_number": "787-841-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 CALLE FERROCARRIL",
"address_2": "EXT SANTA MARIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007171110",
"telephone_number": "787-841-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ZELIDETH",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2906",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PR",
"license": "2906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.