Individual provider Active NPI

Sammy Rivera Adames, D.M.D.

  • Dentist
  • Juncos, PR
National Provider Identifier
1902886476
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2320 Issued in PR
Practice address
Calle Lopez Hormazabal
C-15 Urb. Madrid
Juncos, PR 00777
Phone
(787) 734-0000
Fax
(787) 734-0000
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2320 PR Primary

Addresses

Primary practice location

Calle Lopez Hormazabal
C-15 Urb. Madrid
Juncos, PR 00777

Mailing address

PO Box 1791
Juncos, PR 00777-1791
Phone (787) 734-0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160226000041 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486959699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2320PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Dental Dr Rivera Adames Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1902886476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1791",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771791",
            "telephone_number": "787-734-0000",
            "fax_number": "787-734-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LOPEZ HORMAZABAL",
            "address_2": "C-15 URB. MADRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-0000",
            "fax_number": "787-734-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ADAMES",
        "first_name": "SAMMY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.