Individual provider Active NPI

Marcos F. Vecchini, DMD, MSCD

  • Periodontics
  • San Juan, PR
National Provider Identifier
1043392053
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
854 Issued in PR
Practice address
525 Ave F D Roosevelt
Suite 615 la Torre de Plaza
San Juan, PR 00918-8001
Phone
(787) 767-1233
Fax
(787) 753-0299
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 854 PR Primary

Addresses

Primary practice location

525 Ave F D Roosevelt
Suite 615 la Torre de Plaza
San Juan, PR 00918-8001

Mailing address

525 Ave FD Roosevelt
Suite 615 la Torre de Plaza
San Juan, PR 00918-8001
Phone (787) 767-1233

Other identifiers 1

IdentifierTypeStateIssuer
854OtherPRDENTAL LICENCE

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
I20240109002382 PR Order and Referring Only - DentistPractitioner - Dentist 8325344823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ferdinand Lugo Romeu, Periodontist, PSC Periodontics Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043392053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "SUITE 615 LA TORRE DE PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-767-1233",
            "fax_number": "787-753-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE F D ROOSEVELT",
            "address_2": "SUITE 615 LA TORRE DE PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-767-1233",
            "fax_number": "787-753-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHINI",
        "first_name": "MARCOS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DMD, MSCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "854",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.