Provider Demographics
NPI:1528850500
Name:RIVERA-RODRIGUEZ, CHRISTOPHER JOSE (DMD, MPH, MSMS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSE
Last Name:RIVERA-RODRIGUEZ
Suffix:
Gender:M
Credentials:DMD, MPH, MSMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 364881
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4881
Mailing Address - Country:US
Mailing Address - Phone:787-299-9737
Mailing Address - Fax:
Practice Address - Street 1:576 CALLE CESAR GONZALEZ STE 301
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3757
Practice Address - Country:US
Practice Address - Phone:787-299-9737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program