Edlin S Buitrago, DMD, MPH, JD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1480 Issued in PR

Practice address

400 Ave Domenech
Suite 411
San Juan, PR 00918-3710

Phone

(787) 751-7115

Fax

(787) 751-8270

NPI assigned

May 9, 2007

Sex

Female

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

Credentials

Juris Doctor

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1144434184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361839",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361839",
            "telephone_number": "787-751-7115",
            "fax_number": "787-751-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH",
            "address_2": "SUITE 411",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183710",
            "telephone_number": "787-751-7115",
            "fax_number": "787-751-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO",
        "first_name": "EDLIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH, JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Andrew Bryson
• Lizabeth M Budet, O.T.A.
• Buen Provecho Nutrition Services LLC
• Beatriz Helena Bueno
• John Ernest Buhler-Laboy, M.D.
• Efren Antonio Bula Santos
• Jose Fancisco Bulgala Sr., PH.D
• Jaime Bultorn, TS
• Zuleika Bultron Ayala
• Aleida R Bures Miguel, D.M.D

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.