Active NPI
Mercedes I Rivera, DMD
- General Practice Dentistry
- Ciales, PR
National Provider Identifier
1922063833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1715
- Practice address
- PO Box 1427
Ciales, PR 00638-1427 - Phone
- (787) 871-0601
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1715 | PR | Primary |
Addresses
Primary practice location
PO Box 1427
Ciales, PR 00638-1427
Mailing address
1 Ave San Agustin
Urb. San Agustin
Vega Baja, PR 00693-0000
Phone (787) 384-2316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1922063833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AVE SAN AGUSTIN",
"address_2": "URB. SAN AGUSTIN",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006930000",
"telephone_number": "787-384-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1427",
"city": "CIALES",
"state": "PR",
"postal_code": "006381427",
"telephone_number": "787-871-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MERCEDES",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ciales, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.