Active NPI
Demetrio J Lamela
- Dentist
- Isabela, PR
National Provider Identifier
1255308128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1560
- Practice address
- 36 Calle Barbosa
Isabela, PR 00662-2912 - Phone
- (787) 872-0005
- Fax
- (787) 872-0005
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1560 | PR | Primary |
Addresses
Primary practice location
36 Calle Barbosa
Isabela, PR 00662-2912
Mailing address
36 Calle Barbosa
Isabela, PR 00662-2912
Phone (787) 872-0005
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615001418 | PR | Order and Referring Only - Oral Surgery | 3779874102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamela Dental Clinic Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Isabela, PR
- NPI 1497162424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1255308128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CALLE BARBOSA",
"city": "ISABELA",
"state": "PR",
"postal_code": "006622912",
"telephone_number": "787-872-0005",
"fax_number": "787-872-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CALLE BARBOSA",
"city": "ISABELA",
"state": "PR",
"postal_code": "006622912",
"telephone_number": "787-872-0005",
"fax_number": "787-872-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMELA",
"first_name": "DEMETRIO",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.