Individual provider Active NPI

Dariana Minerva Nunez-Medina

  • Dentist
  • Comerio, PR
National Provider Identifier
1013458702
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3271 Issued in PR
Practice address
Pabellon de Servicios
Suite 4
Comerio, PR 00782-2542
Phone
(787) 875-3566
NPI assigned
Mar 14, 2017
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3271 PR Primary

Addresses

Primary practice location

Pabellon de Servicios
Suite 4
Comerio, PR 00782-2542

Mailing address

PO Box 360423
San Juan, PR 00936-0423
Phone (787) 367-3788

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329000627 PR Order and Referring Only - DentistPractitioner - Dentist 3577901396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dariana M. Nunez Medina Dental PSC CurrentSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1013458702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360423",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360423",
            "telephone_number": "787-367-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PABELLON DE SERVICIOS",
            "address_2": "SUITE 4",
            "city": "COMERIO",
            "state": "PR",
            "postal_code": "007822542",
            "telephone_number": "787-875-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ-MEDINA",
        "first_name": "DARIANA",
        "middle_name": "MINERVA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2023-02-03",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comerio, PR

Sources for this page

Verify at the official NPI Registry.