Individual provider Active NPI

Robert Cacho

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1215902234
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2490 Issued in PR
Practice address
Calle San Jorge 258
Suite 302
San Juan, PR 00911
Phone
(787) 726-6540
Fax
(787) 728-5870
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2490 PR Primary

Addresses

Primary practice location

Calle San Jorge 258
Suite 302
San Juan, PR 00911

Mailing address

1713 Calle San Guillermo
San Ignacio
San Juan, PR 00927-6551
Phone (787) 726-6540

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
I20160620000940 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8022309251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2490PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215902234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CALLE SAN GUILLERMO",
            "address_2": "SAN IGNACIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276551",
            "telephone_number": "787-726-6540",
            "fax_number": "787-728-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN JORGE 258",
            "address_2": "SUITE 302",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-726-6540",
            "fax_number": "787-728-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.