Nicole Melissa Rivera, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401414370 Issued in VA

Practice address

Via Cordillera F26
La Vista
San Juan, PR 00924-8231

Phone

(787) 505-2831

NPI assigned

Dec 11, 2012

Last updated

May 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400976000000",
    "number": "1891030292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA CORDILLERA F26",
            "address_2": "LA VISTA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009248231",
            "telephone_number": "787-505-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA CORDILLERA F26",
            "address_2": "LA VISTA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009248231",
            "telephone_number": "787-505-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "NICOLE",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2014-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "003112",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414370",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadyeschka Rivera, M.D.
• Naida Ivette Rivera
• Natalia Rivera
• Nereida Rivera, CRNA
• Neysha M Rivera, MRC
• Nilda E. Rivera
• Norma Iris Rivera, OTR/L
• Otilio Jose Rivera, MD
• Paola Nicole Rivera
• Patricia Rivera

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, 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 May 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.