Individual provider Active NPI

Sandra Patricia Cerda, D.M.D.

  • Pediatric Dentistry
  • San Juan, PR
National Provider Identifier
1083625776
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2337 Issued in PR
Practice address
281 Ave Jesus T Pinero
Plaza El Amal, Suite 211
San Juan, PR 00927-3901
Phone
(787) 765-2679
Fax
(787) 751-8637
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2337 PR Primary

Addresses

Primary practice location

281 Ave Jesus T Pinero
Plaza El Amal, Suite 211
San Juan, PR 00927-3901

Mailing address

PO Box 193946
San Juan, PR 00919-3946
Phone (787) 765-2679

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
2337PRMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: sjcscerda@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083625776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193946",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193946",
            "telephone_number": "787-765-2679",
            "fax_number": "787-751-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 AVE JESUS T PINERO",
            "address_2": "PLAZA EL AMAL, SUITE 211",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273901",
            "telephone_number": "787-765-2679",
            "fax_number": "787-751-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERDA",
        "first_name": "SANDRA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2337",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.