Active NPI
Wadih Naim, DMD
- Prosthodontics
- San Juan, PR
National Provider Identifier
1063556207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 1834
- Practice address
- 525 Ave FD Roosevelt
La Torre de Plaza Ste 706
San Juan, PR 00918-8001 - Phone
- (787) 753-3605
- Fax
- (787) 753-3605
- NPI assigned
- Feb 19, 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 | 1834 | PR | Primary |
Addresses
Primary practice location
525 Ave FD Roosevelt
La Torre de Plaza Ste 706
San Juan, PR 00918-8001
Mailing address
45 Calle Calistemon
Estancias de Torrimar
Guaynabo, PR 00966-3166
Phone (787) 783-1674
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 |
|---|---|---|---|---|
| I20230623002426 | PR | Practitioner - Dentist | 7517325434 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1834 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063556207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CALLE CALISTEMON",
"address_2": "ESTANCIAS DE TORRIMAR",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009663166",
"telephone_number": "787-783-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 AVE FD ROOSEVELT",
"address_2": "LA TORRE DE PLAZA STE 706",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009188001",
"telephone_number": "787-753-3605",
"fax_number": "787-753-3605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIM",
"first_name": "WADIH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "1834",
"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 Jul 8, 2007; 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.