Javier Eduardo Arias Berrios, DMD
Individual provider Active NPI General Practice Dentistry · Canovanas, PR
NPI 1124414784 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1124414784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3225 (PR)
- Practice address
- 103 Calle Autonomia
Urb. Montehiedra
Canovanas, PR 00729-3297 - Phone
- (787) 876-2100
- Fax
- (787) 876-2100
- NPI assigned
- Apr 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161122001349 | PR | Practitioner - Oral Surgery | 5193004737 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GC Periodontics LLC | Current |
Accepting new patients | |
| Arias Berrios Grupo Dental LLC | General Practice | Current |
Accepting new patients |
Locations
66 Calle Santa Cruz
Ste 103
Bayamon, PR 00961
Phone (787) 925-1665
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3225 | PR | Yes |
Addresses
Primary practice location
103 Calle Autonomia
Urb. Montehiedra
Canovanas, PR 00729-3297
Mailing address
675 Calle Cuevas Bustamante
Apt SPH8
San Juan, PR 00918-4097
Phone (787) 447-4626
Other providers in Canovanas, PR
- Aydin Andino Lopez
- Nashalee Andujar Hernandez
- Ramon M Ansa Vila
- Maria Aponte Tapia
- Jean Carlos Aquino Davila
- Cydmarie Arzuaga Santiago
- Atenea Psychology Inc.
- Dennis Daniel Ayala Carrasquillo
- Daniel Ayala
- Julio Ramon Badillo
All providers in Canovanas, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.