IndividualActive
Juan Rivera, DMD
NPI 1073502860 · Oral and Maxillofacial Surgery (Dentist) · Fajardo, PR
Provider details
- NPI number
- 1073502860
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 995 (PR)
Specialties & taxonomies
Dental Providers
Practice location
53 Calle Garrido Morales E
Fajardo, PR 00738-4665
Phone: (787) 863-2549
Fax: (787) 852-4685
Mailing address
Po Box 1087
Fajardo, PR 00738-1087
Registry dates
- Enumerated
- 2005-10-14
- Last updated
- 2011-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.