Active NPI
Maria Victoria Rivera, DMD
- Pediatric Dentistry
- Caguas, PR
National Provider Identifier
1922067560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2599
- Practice address
- 200 Grand Blvd Los Prados
Plaza Los Prados Suite 804
Caguas, PR 00725 - Phone
- (787) 626-6217
- NPI assigned
- Mar 22, 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2599 | PR | Primary |
Addresses
Primary practice location
200 Grand Blvd Los Prados
Plaza Los Prados Suite 804
Caguas, PR 00725
Mailing address
139 Camino de Las Ceibas
Sabanera del Rio
Gurabo, PR 00778-5224
Phone (787) 751-5317
Other practice location 1
La Torre
Suite 812 Ave F.D. Roosevelt 525
San Juan, PR 00925-2921
Phone (787) 751-5317
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2599 | PR | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1922067560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 CAMINO DE LAS CEIBAS",
"address_2": "SABANERA DEL RIO",
"city": "GURABO",
"state": "PR",
"postal_code": "007785224",
"telephone_number": "787-751-5317",
"fax_number": "787-759-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GRAND BLVD LOS PRADOS",
"address_2": "PLAZA LOS PRADOS SUITE 804",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-626-6217"
}
],
"practiceLocations": [
{
"address_1": "La Torre",
"address_2": "Suite 812 Ave F.D. Roosevelt 525",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009252921",
"country_code": "US",
"telephone_number": "787-751-5317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "MARIA",
"middle_name": "VICTORIA",
"name_prefix": "Miss",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2020-10-05",
"certification_date": "2020-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "2599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.