Individual provider Active NPI

Johana Ortiz Aponte, DMD

  • Prosthodontics
  • Carolina, PR
National Provider Identifier
1083671630
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2034 Issued in PR
Practice address
Suite 30 Altos la Plazoleta
Plaza Carolina Mall
Carolina, PR 00988
Phone
(787) 757-7988
Fax
(787) 769-7340
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2034 PR Primary

Addresses

Primary practice location

Suite 30 Altos la Plazoleta
Plaza Carolina Mall
Carolina, PR 00988

Mailing address

PO Box 8761
Plaza Carolina Station
Carolina, PR 00988-8761
Phone (787) 757-7988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001555 NY Order and Referring Only - DentistPractitioner - Dentist 7719288836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055990NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342224000000",
    "number": "1083671630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8761",
            "address_2": "PLAZA CAROLINA STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009888761",
            "telephone_number": "787-757-7988",
            "fax_number": "787-769-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 30 ALTOS LA PLAZOLETA",
            "address_2": "PLAZA CAROLINA MALL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00988",
            "telephone_number": "787-757-7988",
            "fax_number": "787-769-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ APONTE",
        "first_name": "JOHANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.