Individual provider Active NPI

Lis M Arocho - Salgado, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Caguas, PR
National Provider Identifier
1184817132
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2673 Issued in PR
Practice address
Las Catalinas Mall
Caribbean Cinemas Suite 205
Caguas, PR 00725-5200
Phone
(787) 961-8090
Fax
(787) 961-8099
NPI assigned
Aug 23, 2007
Last updated
Nov 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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 2673 PR Primary

Addresses

Primary practice location

Las Catalinas Mall
Caribbean Cinemas Suite 205
Caguas, PR 00725-5200

Mailing address

Las Catalinas Mall
Caribbean Cinemas Suite 205
Caguas, PR 00725-5200
Phone (787) 961-8090

Other identifiers 1

IdentifierTypeStateIssuer
42542OtherPRSSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2673PRMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial Past Accepting new patients
Lma Cosmetic, Oral and Maxillofacial Surgery Services, PSC 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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1184817132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS CATALINAS MALL",
            "address_2": "CARIBBEAN CINEMAS SUITE 205",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255200",
            "telephone_number": "787-961-8090",
            "fax_number": "787-961-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS CATALINAS MALL",
            "address_2": "CARIBBEAN CINEMAS SUITE 205",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255200",
            "telephone_number": "787-961-8090",
            "fax_number": "787-961-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROCHO - SALGADO",
        "first_name": "LIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "42542",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.