Individual provider Active NPI

Guillermo Jose Berrios Garcia

  • Dentist
  • Dorado, PR
National Provider Identifier
1104492594
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3396 Issued in PR
Practice address
Interseccion 696 Calle Felicita Rincon de Gautier
B.O. Higuillar
Dorado, PR 00646
Phone
(939) 246-4990
NPI assigned
May 27, 2021
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3396 PR Primary

Addresses

Primary practice location

Interseccion 696 Calle Felicita Rincon de Gautier
B.O. Higuillar
Dorado, PR 00646

Mailing address

HC 3 Box 6611
Humacao, PR 00791-9520
Phone (939) 246-4990

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

LicenseStateTypeSpecialty
3396PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1104492594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 6611",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919520",
            "telephone_number": "939-246-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INTERSECCION 696 CALLE FELICITA RINCON DE GAUTIER",
            "address_2": "B.O. HIGUILLAR",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-246-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIOS GARCIA",
        "first_name": "GUILLERMO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.