Active NPI
Hiram Suris
- General Practice Dentistry
- Carolina, PR
National Provider Identifier
1265595490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1321
- Practice address
- 10 Ave Laguna # 205
Carolina, PR 00979-6400 - Phone
- (787) 791-0992
- Fax
- (787) 791-0992
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1321 | PR | Primary |
Addresses
Primary practice location
10 Ave Laguna # 205
Carolina, PR 00979-6400
Mailing address
1379 Paseo de Don Juan Apt. 2B,San Juan P.R.
San Juan, PR 00907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1321 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265595490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1379 PASEO DE DON JUAN APT. 2B,SAN JUAN P.R.",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 AVE LAGUNA # 205",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009796400",
"telephone_number": "787-791-0992",
"fax_number": "787-791-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIS",
"first_name": "HIRAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.