Organization Active NPI

In Prosthodontics LLC

  • Prosthodontics
  • Mayaguez, PR
National Provider Identifier
1083437172
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
IN PROSTHODONTICS LLC
Practice address
351 Ave Hostos Ste 214
Mayaguez, PR 00680-1503
Phone
(787) 806-2442
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Dr. Andres Neftali Irizarry Nazario, DMD, MS
Title
Owner
Phone
(787) 447-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

351 Ave Hostos Ste 214
Mayaguez, PR 00680-1503

Mailing address

Urb. Sultana 65 Malaga St.
Mayaguez, PR 00680
Phone (787) 447-6944

Other identifiers 1

IdentifierTypeStateIssuer
1497425359MedicaidPR

National Provider Directory

National Provider Directory

Locations

351 Ave Hostos
Ste 214
Mayaguez, PR 00680
Phone (787) 806-2442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1083437172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SULTANA 65 MALAGA ST.",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-447-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS STE 214",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801503",
            "telephone_number": "787-806-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN PROSTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY NAZARIO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "NEFTALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-447-6944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497425359",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.