Individual
DR. JOSE LUIS RIVERA-ZAYAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
576 CALLE CESAR GONZALEZ, SUITE 301, DORAL BANK CENTER, SAN JUAN, PR 00918-3756
(787) 773-0123
Mailing address
PO BOX 361477, SAN JUAN, PR 00936-1477
(787) 773-0123
(787) 773-0125
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2107
PR
1223P0700X
Prosthodontics
2107
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1166
FIRST MEDICAL DENTAL
PR
01
—
206198
UTI DENTAL
PR
01
—
41787
CRUZ AZUL DENTAL PLAN
PR
01
—
42122RI
TRIPLE-S DENTAL PLAN
PR
01
—
9690002
HUMANA HEALTH PLAN PR
PR
Enumeration date
09/30/2005
Last updated
08/24/2016
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