Guillermo Enrique Orraca II, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

00962 Issued in PR

Practice address

15TH Aeromedical-Dental Squadron
755 Scott Circle
Hickam Afb, HI 96853-5399

Phone

(301) 751-0676

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1144219411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 JULIAN AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184914",
            "telephone_number": "301-751-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15TH AEROMEDICAL-DENTAL SQUADRON",
            "address_2": "755 SCOTT CIRCLE",
            "city": "HICKAM AFB",
            "state": "HI",
            "postal_code": "968535399",
            "telephone_number": "301-751-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRACA",
        "first_name": "GUILLERMO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "00962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Michael Lerma, PA-C
• Khara Maciel, RDH
• Lauren Nicole Mitchell, DPT, PT
• Cameron Modisette
• Kelly Anne O'Keefe, DDS
• Jeanann Loranger Perkins, PA-C
• Mark P Picchione, IDMT
• Ila Sophie Reyes, M.D
• Aubrey Lynn Rowe, IDMT
• Anthony J Sanger, LCSW

• Prosthodontics in Hickam Afb, HI
• Providers in Hickam Afb, HI by specialty
• Prosthodontics in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.