Individual provider Active NPI

Jose M Silva-Bonar, DMD

  • General Practice Dentistry
  • Toa Alta, PR
National Provider Identifier
1215944707
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1161 Issued in PR
Practice address
Barcelo St.
#12
Toa Alta, PR 00953-0000
Phone
(787) 870-4357
Fax
(787) 790-7113
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1161 PR Primary

Addresses

Primary practice location

Barcelo St.
#12
Toa Alta, PR 00953-0000

Mailing address

Barcelo St.
#12
Toa Alta, PR 00953-0000
Phone (787) 870-4357

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
I20160523001659 PR Order and Referring Only - DentistPractitioner - Dentist 3173812625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1161PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215944707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARCELO ST.",
            "address_2": "#12",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009530000",
            "telephone_number": "787-870-4357",
            "fax_number": "787-790-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARCELO ST.",
            "address_2": "#12",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009530000",
            "telephone_number": "787-870-4357",
            "fax_number": "787-790-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA-BONAR",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.