Individual provider Active NPI

Maria M Irizarry Toledo, DMD

  • General Practice Dentistry
  • Naranjito, PR
National Provider Identifier
1164976809
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3286 Issued in PR
Practice address
Carr 164 KM 9.6
Sector El Desvio
Naranjito, PR 00957
Phone
(787) 243-1737
Fax
(787) 869-1800
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3286 PR Primary

Addresses

Primary practice location

Carr 164 KM 9.6
Sector El Desvio
Naranjito, PR 00957

Mailing address

RR 2 Box 4056
Toa Alta, PR 00953-7003
Phone (787) 243-1737

Other practice location 1

Ave Degetau #A-2
Urb. Bonneville Terrace
Caguas, PR 00726-5908
Phone (787) 744-5900

Other practice location 2

D95 Ave Los Millones
Reparto Alhambra
Bayamon, PR 00957
Phone (787) 740-1919

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
I20230104002036 PR Practitioner - Dentist 8820420508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3286PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Jan 10, 2023 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jan 10, 2023 Accepting new patients
Morales Dental Office PSC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1164976809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 4056",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009537003",
            "telephone_number": "787-243-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 164 KM 9.6",
            "address_2": "SECTOR EL DESVIO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-243-1737",
            "fax_number": "787-869-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Degetau #A-2",
            "address_2": "Urb. Bonneville Terrace",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007265908",
            "country_code": "US",
            "telephone_number": "787-744-5900",
            "fax_number": "787-745-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "D95 Ave Los Millones",
            "address_2": "Reparto Alhambra",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00957",
            "country_code": "US",
            "telephone_number": "787-740-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIZARRY TOLEDO",
        "first_name": "MARIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.