Individual provider Active NPI

Karina Mont, D.M.D

  • Dentist
  • Hatillo, PR
National Provider Identifier
1144216037
Registry record updated Dec 6, 2012
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D02636 Issued in PR
Practice address
Road #2, KM. 84.7
Carrizales
Hatillo, PR 00659
Phone
(787) 820-3355
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D02636 PR Primary

Addresses

Primary practice location

Road #2, KM. 84.7
Carrizales
Hatillo, PR 00659

Mailing address

Valle Verde #5 Madrid
Hatillo, PR 00659-2604
Phone (787) 820-3250

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
I20150825003345 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971819707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D02636PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1144216037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLE VERDE #5 MADRID",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006592604",
            "telephone_number": "787-820-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD #2, KM. 84.7",
            "address_2": "CARRIZALES",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-820-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONT",
        "first_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "D02636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.