Active NPI
Cecilie C. Zamora, D.M.D
- General Practice Dentistry
- Juncos, PR
National Provider Identifier
1023006368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2428
- Practice address
- Road # 31
Juncos Plaza Local D-4
Juncos, PR 00777 - Phone
- (787) 713-0511
- Fax
- (787) 713-0511
- NPI assigned
- Oct 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2428 | PR | Primary |
Addresses
Primary practice location
Road # 31
Juncos Plaza Local D-4
Juncos, PR 00777
Mailing address
Box 1769
Juncos, PR 00777-1769
Phone (787) 734-1822
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 |
|---|---|---|---|---|
| I20150803001130 | PR | Order and Referring Only - Dentist | 7517271679 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2428 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1023006368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 1769",
"city": "JUNCOS",
"state": "PR",
"postal_code": "007771769",
"telephone_number": "787-734-1822",
"fax_number": "787-734-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROAD # 31",
"address_2": "JUNCOS PLAZA LOCAL D-4",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-713-0511",
"fax_number": "787-713-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "CECILIE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juncos, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.