MEDICARE: DR. EDUARDO JOSE RIVERA-CASTILLO DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	3556	PR

General Provider Information

NPI Number	:	1568201101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO JOSE RIVERA-CASTILLO DMD

Provider Business Mailing Address
First Line	:	CARR 152 KM 7.6 BO QUEBRADILLAS SEC LOS LOPEZ
Second Line	:
City	:	BARRANQUITAS
State	:	PR
Zip	:	00794-9301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 152 KM 7.6 BO QUEBRADILLAS SEC LOS LOPEZ
Second Line	:
City	:	BARRANQUITAS
State	:	PR
Zip	:	00794-9301
Country	:	US
Telephone Number	:	787-237-5980
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	02/11/2026

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