IndividualActive
Angel Rivera, DDS
NPI 1104805746 · General Practice Dentistry · Lajas, PR
Provider details
- NPI number
- 1104805746
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2220 (PR)
Specialties & taxonomies
Dental Providers
Mailing address
#823 Calle Duende Urb San Antonio
Ponce, PR 00728-1615
Registry dates
- Enumerated
- 2006-01-12
- Last updated
- 2012-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.