Individual provider Active NPI

Mayra Enid Narvaez-Rivera, D.M.D

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1942338991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1721 Issued in PR
Practice address
Azalea Street
1A7Royal Palm
Bayamon, PR 00956-0000
Phone
(787) 780-3553
Fax
(787) 780-6988
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1721 PR Primary

Addresses

Primary practice location

Azalea Street
1A7Royal Palm
Bayamon, PR 00956-0000

Mailing address

Azalea Street
1A7Royal Palm
Bayamon, PR 00956-0000
Phone (787) 780-3553

Other identifiers 1

IdentifierTypeStateIssuer
1721OtherPRDENTAL LICENSE NUMBER

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
I20150804005351 PR Order and Referring Only - DentistPractitioner - Dentist 4981918950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1721PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942338991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AZALEA STREET",
            "address_2": "1A7ROYAL PALM",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560000",
            "telephone_number": "787-780-3553",
            "fax_number": "787-780-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AZALEA STREET",
            "address_2": "1A7ROYAL PALM",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560000",
            "telephone_number": "787-780-3553",
            "fax_number": "787-780-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARVAEZ-RIVERA",
        "first_name": "MAYRA",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "1721",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.