Provider Demographics
NPI:1053309815
Name:RIVERA, YILDA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:YILDA
Middle Name:M
Last Name:RIVERA
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:576 CESAR A GONZALEZ AVE
Mailing Address - Street 2:DORAL BANK CENTER OFICINA 307
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-753-1475
Mailing Address - Fax:787-753-1475
Practice Address - Street 1:576 CESAR A GONZALEZ AVE
Practice Address - Street 2:DORAL BANK CENTER OFICINA 307
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-753-1475
Practice Address - Fax:787-753-1475
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1053309815OtherMEDICAL CARD SYSTEM
9180185OtherHUMANA INSURANCE
PR1053309815OtherAETNA
40586RIOtherSEGUROS DE SERVICIOS SSS
PR1053309815OtherDELTA DENTAL PLAN OF PR
PR1053309815OtherMETLIFE
PR1053309815OtherUNION CARPINTEROS
PR1053309815OtherCIGNA
PR1053309815OtherMAPFRE
9180185OtherHUMANA REFORMA
PR1053309815OtherACE INSURANCE
3504905OtherADM COMP DE ACCIDENTE
80239OtherATLANTIC CARE MEDIC
80239OtherINTERNATIONAL MANAGEMENT
0720OtherINTERNATIONAL MEDICAL IMC
PR1053309815OtherASES
237009OtherPREFERRED HEALTH
26140OtherAMERICAN HEALTH
823685OtherUNITED CONCORDIA