Jose Disla Pena, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1978 Issued in PR

Practice address

185 Calle Delbrey
Santurce, PR 00911

Phone

(787) 725-1703

Fax

(787) 724-4622

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• JD Health Group Inc

  • Dental Clinic/Center
  • San Juan, PR
  • NPI 1972779924
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215006648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CALLE DELBREY",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-725-1703",
            "fax_number": "787-724-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CALLE DELBREY",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-725-1703",
            "fax_number": "787-724-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISLA PENA",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "041560",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "3856",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura J Delcarmen Rivera
• Milton Oscar Delgado Mejias, MD
• Dental Health Management Corp
• Carlos Ruben Diaz, MD
• Erika Diaz, DMD
• Dr Figueroa Ambulatory Chemo
• Dr. Edgardo Alberty Figueroa
• Dra Hilda Rivera Quinones
• Maria Elena Echevarria-Escudero, M.D.
• Eileen Pacheco

• Oral and Maxillofacial Surgery (Dentist) in Santurce, PR
• Providers in Santurce, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.