Jorge Luis Rivera, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

02131 Issued in PR

Practice address

4 Calle Santiago Veve
Juana Diaz, PR 00795-1653

Phone

(787) 837-8667

Fax

(787) 837-9679

NPI assigned

Jun 22, 2005

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Conceptos Dentales del Sur

  • Dental Clinic/Center
  • Juana Diaz, PR
  • NPI 1740586916
  NPD (past) Authorized official

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1962408104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE SANTIAGO VEVE",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951653",
            "telephone_number": "787-837-8667",
            "fax_number": "787-837-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE SANTIAGO VEVE",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951653",
            "telephone_number": "787-837-8667",
            "fax_number": "787-837-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D2131",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "02131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janir A. Rivera-Amill, O.T.
• Ana Gabriela Rivera-Pagan
• Gabriel D. Rivera
• Jannelyn Rosario Rivera, PATOLOGA DEL HABLA
• Jeanette Rivera, PSYD
• Leane Margarita Rivera
• Lizbeth Rivera
• Ramon Ricardo Rivera, PSY.D
• Reinaldo Luis Rivera, MSW
• Myrna Luz Robles-Figueroa, P.T.

• General Practice Dentistry in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.