Maritza Correa Agosto, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1509 Issued in PR

Practice address

667 Calle la Paz Ste 101
San Juan, PR 00907

Phone

(787) 723-9947

Fax

(787) 723-9947

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1265539837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368015",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368815",
            "telephone_number": "787-378-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 CALLE LA PAZ STE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-723-9947",
            "fax_number": "787-723-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA AGOSTO",
        "first_name": "MARITZA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corporacion Ortopedia Industrial, CSP
• Corporacion Psicopedagogica
• Claudio Javier Corral, M.D.
• Yuri Corrales Higuera, M.D.
• Correa & Defendini Dental, P.S.C.
• Ariana Correa Caraballo
• Caleb Correa Cortes, FNP
• Virmarie Correa Fernandez, PH.D.
• Nathasha Correa Melendez
• Marangely Correa Nieves, RN

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.