Active NPI
Enrique Frontero Jr., DMD
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1093883399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 511
- Practice address
- 201 Dediego Ave
Plaza San Fran Suite 205
San Juan, PR 00927 - Phone
- (787) 764-6138
- Fax
- (787) 764-6157
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 511 | PR | Primary |
Addresses
Primary practice location
201 Dediego Ave
Plaza San Fran Suite 205
San Juan, PR 00927
Mailing address
201 Dediego Ave
Plaza San Francisco Suite 205
San Juan, PR 00927
Phone (787) 764-6138
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
| License | State | Type | Specialty |
|---|---|---|---|
| 511 | PR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093883399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEDIEGO AVE",
"address_2": "PLAZA SAN FRANCISCO SUITE 205",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-764-6138",
"fax_number": "787-764-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DEDIEGO AVE",
"address_2": "PLAZA SAN FRAN SUITE 205",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "787-764-6138",
"fax_number": "787-764-6157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRONTERO",
"first_name": "ENRIQUE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Maria Teresa Frontera-Rodriguez, CCC-SLP
- Herminio Frontera, M.D.
- Natasha Lizette Frontera
- Sebastian Frontera, MS
- Walter R Frontera, MD, PHD
- Bryan Alexander Fuentes Arias, MSW
- Lourdes Fuentes Fonseca, PSY D
- Josie Danelli Fuentes Gutierrez, M.D.
- Fuentes Medical Center Corp
- Milka Yaditza Fuentes Osorio, CCSW
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.