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DR. TEODORO LOPEZ RIVERA D.M.D., MSCD.
NPI 1487650164
Dentist - Pediatric Dentistry in Ponce, PR

Active since June 27, 2005PECOS Enrolled
EDIFICIO CLAUSELLS 129 CALLE VILLA, SUITE 24, PONCE, PR 00730(787) 844-1880(787) 844-5885 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Teodoro Lopez Rivera D.m.d., Mscd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TEODORO LOPEZ RIVERA D.M.D., MSCD. (NPI 1487650164) is an individual pediatric dentistry provider in Ponce, Puerto Rico, licensed in Puerto Rico (728) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487650164
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TEODORO LOPEZ RIVERACredential: D.M.D., MSCD.
Location AddressEDIFICIO CLAUSELLS 129 CALLE VILLA, SUITE 24Ponce, PR 00730
Mailing AddressPo Box 330707Ponce, PR 00733-0707 · (787) 844-1880 · Fax (787) 844-5885
Phone(787) 844-1880
Fax(787) 844-5885
Sole ProprietorYes
Enumeration DateJune 27, 2005
Last NPPES UpdateJune 27, 2016
✔ NPI 1487650164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PR · 728
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Other Identifiers 5

Other040471PR · Cruz Azul
Other237025PR · Uti
Other4722PR · International Medical Car
Other7310173PR · Humana
Other40719PR · Seguros Servicios Salud

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Teodoro Lopez Rivera D.m.d., Mscd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teodoro Lopez Rivera's NPI number?

The NPI number for Teodoro Lopez Rivera is 1487650164. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Teodoro Lopez Rivera located?

Teodoro Lopez Rivera practices at Edificio Clausells 129 Calle Villa Suite 24, Ponce, PR 00730. The listed phone number is (787) 844-1880.

What is Teodoro Lopez Rivera's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Teodoro Lopez Rivera enrolled in Medicare?

Yes. Teodoro Lopez Rivera is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teodoro Lopez Rivera was last updated on June 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.