Provider Demographics
NPI:1740297159
Name:RIVERA-SANFIORENZO, SAIRA I (DMD)
Entity type:Individual
Prefix:DR
First Name:SAIRA
Middle Name:I
Last Name:RIVERA-SANFIORENZO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SAIRA
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:101 AVE SAN PATRICIO
Mailing Address - Street 2:SUITE 820
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-641-9341
Mailing Address - Fax:787-641-9343
Practice Address - Street 1:101 AVE SAN PATRICIO
Practice Address - Street 2:MARAMAR PLAZA SUITE 820
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-641-9341
Practice Address - Fax:787-641-9343
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice