Individual provider Active NPI

Carlos A Nunez Ayoroa, DMD

  • Dentist
  • Naranjito, PR
National Provider Identifier
1093508525
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3590 Issued in PR
Practice address
Clinica Dental la Montana
PR-152 KM 12.7 Bo. Cedro Arriba
Naranjito, PR 00719
Phone
(787) 919-5030
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3590 PR Primary

Addresses

Primary practice location

Clinica Dental la Montana
PR-152 KM 12.7 Bo. Cedro Arriba
Naranjito, PR 00719

Mailing address

2021 Calle Extremadura
Ponce, PR 00730-4079
Phone (787) 919-5030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415004207 PR Order and Referring Only - DentistPractitioner - Dentist 3173099330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3590PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1093508525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CALLE EXTREMADURA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007304079",
            "telephone_number": "787-919-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DENTAL LA MONTANA",
            "address_2": "PR-152 KM 12.7 BO. CEDRO ARRIBA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-919-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ AYOROA",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.