Individual provider Active NPI

Militza Fernandez Rios, D.M.D.

  • Dentist
  • Carolina, PR
National Provider Identifier
1144377706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
891 Issued in PR
Practice address
1225 Calle Marginal Villamar
Carolina, PR 00979
Phone
(787) 727-8960
Fax
(787) 726-0802
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 891 PR Primary

Addresses

Primary practice location

1225 Calle Marginal Villamar
Carolina, PR 00979

Mailing address

1225 Calle Marginal Villamar
Carolina, PR 00979-6328
Phone (787) 727-8960

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
I20191021001477 PR Order and Referring Only - DentistPractitioner - Dentist 3678805868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
891PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios de Salud Oral, CSP Dentist Past Accepting new patients
Magic-Dental Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144377706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796328",
            "telephone_number": "787-727-8960",
            "fax_number": "787-726-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-727-8960",
            "fax_number": "787-726-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ RIOS",
        "first_name": "MILITZA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.