Individual provider Active NPI

Andrea Maria Rivera Acevedo

  • Dentist
  • Rincon, PR
National Provider Identifier
1972396273
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3576 Issued in PR
Practice address
28 Calle Munoz Rivera W
Rincon, PR 00677-2127
Phone
(787) 823-5555
NPI assigned
May 28, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3576 PR Primary

Addresses

Primary practice location

28 Calle Munoz Rivera W
Rincon, PR 00677-2127

Mailing address

Com San Romualdo G 42
Hormigueros, PR 00660
Phone (787) 464-0447

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
I20250918003151 PR Practitioner - Dentist 8820592157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Puerto Rico School of Dentistry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37 Ave Los Robles
Aguadilla, PR 00603

PO Box
Rincon, PR 00677

San Romualdo Calle G
Suite 42
Hormigueros, PR 00660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3576PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Costa Salud Community Health Centers, Inc CurrentSince Jul 14, 2025 Accepting new patients
Costa Salud Community Health Centers, Inc. CurrentSince Jul 14, 2025 Accepting new patients

Locations

106 Calle Colon
Aguada, PR 00602
Phone (787) 252-5500

28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1972396273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COM SAN ROMUALDO G 42",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-464-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE MUNOZ RIVERA W",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006772127",
            "telephone_number": "787-823-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA ACEVEDO",
        "first_name": "ANDREA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, PR

Sources for this page

Verify at the official NPI Registry.