Individual provider Active NPI

Jose Francisco Santiago-Llorens, DDS

  • General Practice Dentistry
  • Ponce, PR
National Provider Identifier
1023024486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1970 Issued in PR
Practice address
Ave Hostos #216
Centro de Diagnostico Y Tratamiento Playa de Ponce
Ponce, PR 00734-4254
Phone
(787) 843-9393
Fax
(787) 841-0993
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1970 PR Primary

Addresses

Primary practice location

Ave Hostos #216
Centro de Diagnostico Y Tratamiento Playa de Ponce
Ponce, PR 00734-4254

Mailing address

Anaida Gardens 200
Calle 1 Apt #108
Ponce, PR 00716-2579
Phone (787) 449-7513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1970PRMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023024486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANAIDA GARDENS 200",
            "address_2": "CALLE 1 APT #108",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162579",
            "telephone_number": "787-449-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS #216",
            "address_2": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO PLAYA DE PONCE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007344254",
            "telephone_number": "787-843-9393",
            "fax_number": "787-841-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO-LLORENS",
        "first_name": "JOSE",
        "middle_name": "FRANCISCO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.