Active NPI
Gabriel Fuentes-Arroyo, DMD
- Endodontics
- Yabucoa, PR
National Provider Identifier
1265663314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2869
- Practice address
- 60 Calle Cristobal Colon
Yabucoa, PR 00767-3616 - Phone
- (787) 893-2044
- NPI assigned
- Aug 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054423 | NY | |
| Endodontics | 1223E0200X | 2869 | PR | Primary |
Addresses
Primary practice location
60 Calle Cristobal Colon
Yabucoa, PR 00767-3616
Mailing address
60 Calle Cristobal Colon
Yabucoa, PR 00767-3616
Phone (787) 893-2044
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 |
|---|---|---|---|
| 054423 | NY | MD | Dentist |
| 2869 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1265663314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 CALLE CRISTOBAL COLON",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007673616",
"telephone_number": "787-893-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CALLE CRISTOBAL COLON",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007673616",
"telephone_number": "787-893-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES-ARROYO",
"first_name": "GABRIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054423",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PR",
"license": "2869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yabucoa, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.