| Doctor Name: | DR. MIGUEL EFRAIN RIVERA |
| NPI Number: | 1124029723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DMD |
| License Number: | 1244 |
| Business Practice Address: | 69 Calle Celis Aguilera Plaza Del Parque # 3 Santa Isabel, PR - 007572528 |
| Business Phone Number: | 7878453071 |
| Business Fax Number: | |
| Mailing Address: | 69 Calle Celis Aguilera, P O Box 266 SANTA ISABEL |
| State: | PR |
| Postal Code: | 007572528 |
| Phone Number: | 7878453071 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223G0001X |
| License Number: | 1244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |