Individual provider Active NPI

Jorge Alberto Varela, DMD

  • Dentist
  • San Juan, PR
National Provider Identifier
1295825339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
PR2329 Issued in PR
Practice address
Torre de Plaza Las Americas 525FDR
Suite 609
San Juan, PR 00918-1312
Phone
(787) 763-5503
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X PR2329 PR Primary

Addresses

Primary practice location

Torre de Plaza Las Americas 525FDR
Suite 609
San Juan, PR 00918-1312

Mailing address

Torre de Plaza Las Americas 525FDR
Suite 609
San Juan, PR 00918-1312
Phone (787) 763-5503

Other identifiers 1

IdentifierTypeStateIssuer
PR2329OtherPRSTATE LICENCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213000084 PR Order and Referring Only - DentistPractitioner - Dentist 8628404597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR2329PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge Varela Dental Office 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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295825339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TORRE DE PLAZA LAS AMERICAS 525FDR",
            "address_2": "SUITE 609",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181312",
            "telephone_number": "787-763-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE DE PLAZA LAS AMERICAS 525FDR",
            "address_2": "SUITE 609",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181312",
            "telephone_number": "787-763-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "PR2329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "PR2329",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.