MICOL HERNANDEZ RIVERA LLC (NPI# 1083249122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083249122 |
| Entity Type | Organization |
| Organization Name | MICOL HERNANDEZ RIVERA LLC |
| Practice Address |
1959 Calle Loiza Ste 301 San Juan PR 00911-1873 |
| Mailing Address |
1506 Ave Ashford Apt 201 San Juan PR 00911-1103 |
| Practice Telephone | 7875907432 |
| Mailing Telephone | 7875907432 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | MICOL HERNANDEZ RIVERA (OWNER) |
| Authorized Official Telephone | 7875907432 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
1959 CALLE LOIZA STE 301 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00911-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223683 | Myrna Liz Carrasquillo | Speech-Language Pathologist | Calle Tapia #53, San Juan, PR 00911 | 2020-04-03 |
| 1548892888 | Ana Maria Davila | Student in an Organized Health Care Education/Training Program | 1554 Lopez Landron, Apt 209 Cond Les Cours, San Juan, PR 00911 | 2020-02-05 |
| 1639657232 | Therapy Solutions LLC | Occupational Therapist | 53 Calle Tapia, San Juan, PR 00911 | 2018-08-06 |
| 1962901850 | Alexandra Rivera Santos | Student in an Organized Health Care Education/Training Program | 1519 Lopez Landron, San Juan, PR 00911 | 2018-02-06 |
| 1033631072 | Giselle J. Figueroa Febo | Social Worker | 150 Calle Castro Vinas Egida De Las Enfermeras, San Juan, PR 00911 | 2017-07-12 |
| 1609272368 | Joan Gonzalez | Psychologist | 1965 Calle Mcleary, Urb. Ocean Park, San Juan, PR 00911 | 2014-11-07 |
| 1629470158 | Centro De Radiologia Intervencional De Puerto Rico Cp | Radiology | 1760 Calle Loiza Ste 205, Santurce, PR 00911 | 2014-09-16 |
| 1144635319 | Samuel Fernandez-perez | Orthopaedic Surgery | Ave. De Diego Apt 1002n, Cond. Gallery Plaza, San Juan, PR 00911 | 2014-06-26 |
| 1083039796 | Best Imagen | Optometrist | 111 Calle Tapia, San Juan, PR 00911 | 2014-03-04 |
| 1013201193 | Katherine M Robles Vincenty | Pharmacist | 1963 Loiza Street, San Juan, PR 00911 | 2011-06-06 |
| Find all providers in zip 00911 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063925758 | Ashford Periodontics and Implants Psc | Dentist | 29 Calle Washington Ste 709, San Juan, PR 00907-1503 | 2017-11-16 |
| 1538411285 | Centro De Periodoncia E Implantologia Pavia | Dentist | 1449 Calle Americo Salas Ste 202, 1449 Americo Salas, San Juan, PR 00909-2101 | 2012-10-04 |
| 1477732931 | Eliseo Martinez - Gonzalez | Dentist | 10 Calle Candina, Apt 7-a, San Juan, PR 00907-1404 | 2007-10-31 |
| 1477605970 | Jose Javier Tolosa | Dentist | 9410 Los Romero Ave. Suite 207, San Juan, PR 00926 | 2007-01-17 |
| 1316096134 | Jose O Colon-deglans | Dentist | 576 Calle Cesar Gonzalez Ste 308, San Juan, PR 00918-3757 | 2007-01-10 |
| 1043392053 | Marcos F. Vecchini | Dentist | 525 Ave F D Roosevelt, Suite 615 La Torre De Plaza, San Juan, PR 00918-8001 | 2006-10-19 |
| 1992892244 | Jose Gilberto Gonzalez-gonzalez | Dentist | Summit Building Box 12 1738 Amarillo Street, 207-a, San Juan, PR 00926 | 2006-10-06 |
| 1154412567 | Jeanne Michelle Badillo | Dentist | 1738 Calle Amarillo, Suite 207a, San Juan, PR 00926-3072 | 2006-09-28 |
| 1184734683 | Jose Antonio Suris | Dentist | 400 Roosevelt Ave, Suite 502, San Juan, PR 00918 | 2006-08-30 |
| 1063491694 | Magali Muniz-mariani | Dentist | A3 Calle Lodi, Urb. Luarca, San Juan, PR 00924-3804 | 2006-01-12 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.