Individual provider Active NPI

Denisha Marie Berrios Miranda, DMD

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1053946244
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3355 Issued in PR
Practice address
Ave. San Claudio
#390
San Juan, PR 00926
Phone
(787) 748-2025
NPI assigned
Mar 8, 2020
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 3355 PR Primary

Addresses

Primary practice location

Ave. San Claudio
#390
San Juan, PR 00926

Mailing address

HC 67 Box 15090
Bayamon, PR 00956-9510
Phone (787) 664-0935

Other practice location 1

100 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3916
Phone (787) 893-0320

Other practice location 2

F14 Ave Degetau
Caguas, PR 00725-5839
Phone (787) 425-0885

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
3355PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Del Parque Dental Center LLC General Practice PastSince Jan 14, 2024 Accepting new patients

Organizations & group practices 2

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": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1053946244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 67 BOX 15090",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569510",
            "telephone_number": "787-664-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. SAN CLAUDIO",
            "address_2": "#390",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-748-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Calle Saturnino Rodriguez",
            "address_purpose": "LOCATION",
            "city": "Yabucoa",
            "state": "PR",
            "postal_code": "007673916",
            "country_code": "US",
            "telephone_number": "787-893-0320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "F14 Ave Degetau",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007255839",
            "country_code": "US",
            "telephone_number": "787-425-0885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRIOS MIRANDA",
        "first_name": "DENISHA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-08",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.