Individual provider Active NPI

Filiberto Desa Cintron, DDS

  • Dentist
  • Aguada, PR
National Provider Identifier
1114049897
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2214 Issued in PR
Practice address
HC 56 Box 35650
Aguada, PR 00602-9790
Phone
(787) 868-6783
Fax
(787) 868-6783
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2214 PR Primary

Addresses

Primary practice location

HC 56 Box 35650
Aguada, PR 00602-9790

Mailing address

HC 56 Box 35650
Aguada, PR 00602-9790
Phone (787) 868-6783

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
I20161216000580 PR Order and Referring Only - DentistPractitioner - Dentist 4587944194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1114049897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 35650",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029790",
            "telephone_number": "787-868-6783",
            "fax_number": "787-868-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 56 BOX 35650",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029790",
            "telephone_number": "787-868-6783",
            "fax_number": "787-868-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESA CINTRON",
        "first_name": "FILIBERTO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.