Active NPI
Pedro J Andujar, DMD
- Prosthodontics
- Guayama, PR
National Provider Identifier
1063435519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 1678
- Practice address
- La Fuente Town Center 706 Calle Marginal
Ste.#11136
Guayama, PR 00784 - Phone
- (787) 864-2857
- Fax
- (787) 866-4315
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 1678 | PR | Primary |
Addresses
Primary practice location
La Fuente Town Center 706 Calle Marginal
Ste.#11136
Guayama, PR 00784
Mailing address
Guaraguao #231 Sabanera del Rio
Gurabo, PR 00778
Phone (787) 744-0680
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1678 | PR | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063435519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GUARAGUAO #231 SABANERA DEL RIO",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-744-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LA FUENTE TOWN CENTER 706 CALLE MARGINAL",
"address_2": "STE.#11136",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-864-2857",
"fax_number": "787-866-4315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDUJAR",
"first_name": "PEDRO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "1678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
- Annette Alvarado, RPH
- Carmen Socorro Amaro, RN
- Amneumo LLC
- Amr Advance Medical Research (Alvin Romero Cales, MD)
- Ana L Guadalupe Santiago (Odessa Medical Trasnport)
- Roberto Jaziel Angeli Morales
- Robexi Del R. Angeli Velazquez, M.D.
- Jose Anglero Ramos, M.D.
- Apcg Urology C S P
- Carmen M Aponte Rodriguez, MA
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.