IndividualActive
Bonifacio Rivera-Virella, DMD
NPI 1396738571 · Oral and Maxillofacial Surgery (Dentist) · Rio Piedras, PR
Provider details
- NPI number
- 1396738571
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 1370 (PR)
Specialties & taxonomies
Dental Providers
Practice location
Clinicas Externas Asem - Cirugia Oral Y Maxilofacial
Centro Medico De Pr, Bo. Monacillos
Rio Piedras, PR 00935
Phone: (787) 777-3535
Fax: (787) 751-0858
Mailing address
Cirugia Oral Y Maxilofacial Rcm
San Juan, PR 00929-0134
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2021-05-19
- Certified
- 2021-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.