Dr. Micol Hernandez Rivera, D.M.D.
Dentist, Periodontics in San Juan, PR. Individual provider (NPI-1).
NPI number1114225232
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1114225232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Micol Hernandez Rivera
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2011
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 3195 | PR | Yes |
Practice location
1959 Calle LoizaSte 301
San Juan, PR 00911-1873
Phone 787-281-8106
Mailing address
1959 Calle Loiza Ste 301San Juan, PR 00911-1873
Phone 787-281-8106
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All 28 Periodontics providers in San Juan · All 12,122 providers in San Juan
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