Provider Demographics
NPI:1225027824
Name:RIVERA, JANET (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:RIVERA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2343
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2343
Mailing Address - Country:US
Mailing Address - Phone:787-839-4160
Mailing Address - Fax:787-271-0786
Practice Address - Street 1:37 CALLE ALBERTO RICCI
Practice Address - Street 2:
Practice Address - City:PATILLAS
Practice Address - State:PR
Practice Address - Zip Code:00723-2851
Practice Address - Country:US
Practice Address - Phone:787-839-4160
Practice Address - Fax:787-271-0786
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1806122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist