Maria Mercedes De Thomas, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1965 Issued in PR

Practice address

Calle Diamante #a-20 Golden Gate, Caparra
Guaynabo, PR 00968-3413

Phone

(787) 245-2112

NPI assigned

Jun 16, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1003811910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DIAMANTE #A-20 GOLDEN GATE, CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683413",
            "telephone_number": "787-245-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DIAMANTE #A-20 GOLDEN GATE, CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683413",
            "telephone_number": "787-245-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE THOMAS",
        "first_name": "MARIA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "1965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC.",
            "identifier": "41904",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Josue De la Torre Gonzalez, M.S.
• Gloria J. De Leon, RPH.
• Miosotis De Leon, LIC
• Noel S De Leon, MD, FACS
• Maria Isabel De Puigdorfila, PSY.D.
• Edgardo Degro Santiago, 1577P
• Mark A Dejesus Gonzalez, 1311P
• Patricia Del Pilar Alvarado, DMD
• Kamila Del Rio Lizardi
• Jennifer Del Rio Rodriguez, PHARM.D

• Pediatric Dentistry in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Pediatric Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.

Verify at the official NPI Registry.