Individual provider Active NPI

Atilano Leon-Torres, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan, PR
National Provider Identifier
1164423224
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
00840 Issued in PR
Practice address
521 Calle Valcarcel
Corner 181 South St
San Juan, PR 00923-3337
Phone
(787) 755-4347
Fax
(787) 250-8450
NPI assigned
Aug 10, 2005
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 00840 PR Primary

Addresses

Primary practice location

521 Calle Valcarcel
Corner 181 South St
San Juan, PR 00923-3337

Mailing address

PO Box 29736
San Juan, PR 00929-0736
Phone (787) 755-4347

Other identifiers 4

IdentifierTypeStateIssuer
1900366OtherPRACAA
4-0889OtherPRMEDICARE
9200081OtherPRHUMANA
4-0889OtherPRTRIPLE-S, INC.

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050114000183 PR Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 8325097520 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Puerto Rico School of Dentistry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

521 Calle Antonio Valcarcel
Urb Reparto America
San Juan, PR 00923-3337
Phone (787) 755-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00840PRMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Soc Dres Atilano Leon, Jose a Morales, Edgar Echevarria Oral and Maxillofacial Surgery Past Accepting new patients

Locations

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 3

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1164423224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29736",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290736",
            "telephone_number": "787-755-4347",
            "fax_number": "787-520-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 CALLE VALCARCEL",
            "address_2": "CORNER 181 SOUTH ST",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009233337",
            "telephone_number": "787-755-4347",
            "fax_number": "787-250-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON-TORRES",
        "first_name": "ATILANO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "00840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "1900366",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4-0889",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9200081",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC.",
            "identifier": "4-0889",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.