Jennifer Lastra Carrasquillo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

003472 Issued in PR

Practice address

2E19 Ave Luis Munoz Marin
Caguas, PR 00725-6245

Phone

(787) 692-8229

NPI assigned

May 18, 2022

Last updated

May 23, 2025By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Health Care

  • Dental Clinic/Center
  • Cayey, PR
  • NPI 1316313695
  NPD (past)
• Dra Lina N Rivera Rivera PSC

  • General Practice Dentistry
  • Juncos, PR
  • NPI 1649859448
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1174260491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 10 BOX 49039",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2E19 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256245",
            "telephone_number": "787-692-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Calle Martinez Ste 1",
            "address_purpose": "LOCATION",
            "city": "Juncos",
            "state": "PR",
            "postal_code": "007773671",
            "country_code": "US",
            "telephone_number": "787-918-2703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTRA CARRASQUILLO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "003472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace J Laracuenta, M.D
• Edna E Laracuente, M.D.
• Iris Esther Lasanta Ramos, M.D.
• Doris Gisela Lasanta, M.D.
• Lastmp, Inc.
• Ricardo Latimer, O.D.
• Latitud 18 Norte LLC (Mi Farmacia Dominguez Y Mucho Mas)
• Maria Eugenia Latoni Benedetti, OD
• Fabian Enrique Laureano Claudio, PHARMD
• Pedro Jorge Laureano

• General Practice Dentistry in Caguas, PR
• Providers in Caguas, 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 May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.