Carlos Alberto Grana, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1832 Issued in PR

Practice address

100 Calle Hernan Alvarez
Suite 201
San German, PR 00683-4173

Phone

(787) 264-2810

NPI assigned

Oct 26, 2006

Sex

Male

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

University of Puerto Rico School of Dentistry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275618605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830173",
            "telephone_number": "787-264-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE HERNAN ALVAREZ",
            "address_2": "SUITE 201",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834173",
            "telephone_number": "787-264-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANA",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Adolfo Gonzalez Rodriguez, MD
• Manuel Antonio Gonzalez Rodriguez, MD
• Felix H Gonzalez, M.A.
• Gloria Maria Gonzalez
• Carlos Gustavo Grana Morales
• Rafael Grovas Porrata
• Grupo Clinico San Judas Tadeo, P.S.C.
• Grupo de Anestesiologia Las Lomas Inc
• GSP LLC
• Ricardo Javier Guerrero, MD

• Dentist in San German, PR
• Providers in San German, PR by specialty
• Dentist in Puerto Rico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.