Suane Ann Canales, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3299 Issued in PR

Practice address

725 West Main Plaza del Sol
Local 1100a
Bayamon, PR 00961

Phone

(787) 780-4300

NPI assigned

Feb 18, 2019

Last updated

Feb 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1093271827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA DEL SOL MALL SUITE 40",
            "address_2": "SUITE 40 LOCAL 1100A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WEST MAIN PLAZA DEL SOL",
            "address_2": "LOCAL 1100A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "SUANE",
        "middle_name": "ANN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JDE",
            "identifier": "3299",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael S. Campos, M.D.
• Victor Ivan Campos, M.D.
• Maria Mercedes Camunas, DMD
• Carlos A. Canales Quintero, MD.
• Mario Canales, PTT
• Mireily Cancel-Feliciano, M.D.
• Yazmin Cancel
• Lilliam Candelario Camacho
• Karen Liz Candelario Maldonado, LMSW
• Hector Candelas, M.D.

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.