Active NPI
Elsa Cristina Justiniano, DMD
- Dentist
- Bayamon, PR
National Provider Identifier
1003071754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2816
- Practice address
- 3R40 Ave Laurel
Bayamon, PR 00956-3310 - Phone
- (787) 798-9424
- NPI assigned
- Jul 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2816 | PR | Primary |
Addresses
Primary practice location
3R40 Ave Laurel
Bayamon, PR 00956-3310
Mailing address
Calle Ramon Gandia Baldrich 559
San Juan, PR 00918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161012002146 | PR | Order and Referring Only - Oral Surgery | 6204124993 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2816 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ej Dental P.S.C. | Past | Accepting new patients | |
| Advance Dental Clinic Professional Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Bayamon, PR
- NPI 1710273966
-
- Dental Clinic/Center
- Humacao, PR
- NPI 1356517437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1003071754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE RAMON GANDIA BALDRICH 559",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3R40 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563310",
"telephone_number": "787-798-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTINIANO",
"first_name": "ELSA",
"middle_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-22",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Julio Santos Garcia (Farmacia La Familia)
- Jaheili M Jusino Rosado
- Angel Mario Jusino, PHARMACIST
- Eva Jannette Jusino
- Providencia Jusino
- K Toro Garraton Inc
- Kathy a. Caraballo Rivera,PSC
- KCM Service, PSC (Carlos J. Miranda)
- Kenel Fernandez Barbosa (Oncologia Hematologia San Pablo)
- Keylivette's Therapy Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.