Individual provider Active NPI

Miguel Pastrana Laborde, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Sebastian, PR
National Provider Identifier
1093839771
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2043 Issued in PR
Practice address
Carr 111 KM 17.9
Bo Guatemala
San Sebastian, PR 00685-3216
Phone
(787) 280-5600
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2043 PR Primary
Oral and Maxillofacial Pathology Dentistry 1223P0106X DN 13518 FL

Addresses

Primary practice location

Carr 111 KM 17.9
Bo Guatemala
San Sebastian, PR 00685-3216

Mailing address

PO Box 1678
San Sebastian, PR 00685-1678
Phone (787) 280-5600

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 13518FLMDOral and Maxillofacial Pathology Dentist
2043PRMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1093839771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851678",
            "telephone_number": "787-280-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 KM 17.9",
            "address_2": "BO GUATEMALA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853216",
            "telephone_number": "787-280-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA LABORDE",
        "first_name": "MIGUEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2043",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "FL",
            "license": "DN 13518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.