Dariana Minerva Nunez-Medina – Dentist in Comerio, PR

Key facts

NPI: 1013458702
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 3271 (PR)
Practice address: Pabellon de Servicios
Suite 4
Comerio, PR 00782-2542
Phone: (787) 875-3566
NPI assigned: Mar 14, 2017
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Dariana M. Nunez Medina Dental PSC Dental Clinic/Center · Comerio, PR · NPI 1861999419

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240329000627	PR	Order and Referring Only - Dentist Practitioner - Dentist	3577901396

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
3271	PR	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Dariana M. Nunez Medina Dental PSC		Current since Aug 1, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	3271	PR	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2023.

{
    "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

All providers in Comerio, PR · Dentist in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.