Angel M. Rivera-Castro, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2534 Issued in PR

Practice address

8185 Lee Vista Blvd Ste 200
Orlando, FL 32829-8304

Phone

(407) 881-1751

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Locations

Networks

• Freedom Health HMO Network

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.

• Pure Smiles, PA

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1013503184
  NPD Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1922037522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NARCOOSSEE RD STE 102-129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326998",
            "telephone_number": "407-360-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8185 LEE VISTA BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298304",
            "telephone_number": "407-881-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-CASTRO",
        "first_name": "ANGEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "18238",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaritza Rivera Tirado
• Liza Rivera Vazquez, BSN RN
• Nathalia Janice Rivera Vazquez
• Stephanie Marie Rivera Velazquez, EDD, NCC, LMHC, LMFT
• Lyanne Marie Rivera Velez, DPT
• Michelle Rivera-Clonch
• Veronica Rivera-Cruz, MD
• Adryanna Rosario Rivera-Delgado
• Lillian Rivera-Lakhan, LMHC
• Hilda Angelica Rivera-Mejias, PHYSICAL THERAPIST

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.