1053309815 NPI number — DR. YILDA M RIVERA DDS

Table of content: DR. YILDA M RIVERA DDS (NPI 1053309815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053309815 NPI number — DR. YILDA M RIVERA DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIVERA
Provider First Name:
YILDA
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053309815
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/08/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
576 CESAR A GONZALEZ AVE
Provider Second Line Business Mailing Address:
DORAL BANK CENTER OFICINA 307
Provider Business Mailing Address City Name:
HATO REY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-753-1475
Provider Business Mailing Address Fax Number:
787-753-1475

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
576 CESAR A GONZALEZ AVE
Provider Second Line Business Practice Location Address:
DORAL BANK CENTER OFICINA 307
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-753-1475
Provider Business Practice Location Address Fax Number:
787-753-1475
Provider Enumeration Date:
10/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  618 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1053309815 . This is a "MEDICAL CARD SYSTEM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9180185 . This is a "HUMANA INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "AETNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40586RI . This is a "SEGUROS DE SERVICIOS SSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "DELTA DENTAL PLAN OF PR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "METLIFE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "UNION CARPINTEROS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "CIGNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "MAPFRE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9180185 . This is a "HUMANA REFORMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "ACE INSURANCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 3504905 . This is a "ADM COMP DE ACCIDENTE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 80239 . This is a "ATLANTIC CARE MEDIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 80239 . This is a "INTERNATIONAL MANAGEMENT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0720 . This is a "INTERNATIONAL MEDICAL IMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1053309815 . This is a "ASES" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 237009 . This is a "PREFERRED HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 26140 . This is a "AMERICAN HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 823685 . This is a "UNITED CONCORDIA" identifier . This identifiers is of the category "OTHER".




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