Active NPI
Amanda L.. Rivera Circuns, DMD,MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Juan, PR
National Provider Identifier
1992833750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0583
- Practice address
- 1452 Ave Ashford Ste 2
San Juan, PR 00907-1556 - Phone
- (787) 724-3970
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0583 | PR | Primary |
Addresses
Primary practice location
1452 Ave Ashford Ste 2
San Juan, PR 00907-1556
Mailing address
1452 Ave Ashford Ste 2
San Juan, PR 00907-1556
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 |
|---|---|---|---|
| 0583 | PR | MD | Optometrist |
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": "1992833750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 AVE ASHFORD STE 2",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 AVE ASHFORD STE 2",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071556",
"telephone_number": "787-724-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA CIRCUNS",
"first_name": "AMANDA",
"middle_name": "L..",
"credential": "DMD,MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PR",
"license": "0583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Paula Alexandra Rivera Carrasquillo
- Yalimar Rivera Castillo
- Alexandra Marie Rivera Castro, MD
- Ericka Rivera Castro, MD
- Graciela Del C Rivera Castro, MD
- Natalia Marie Rivera Colom, MD
- Denise M. Rivera Cordero, AUD
- Fransheska Del Rosario Rivera Cordova, MD
- Alondra Rivera Cruz
- Fernando Rivera Cruz, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.