Active NPI
Fernando Luis Joglar, DMD
- Dentist
- Trujillo Alto, PR
National Provider Identifier
1295869261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0723
- Practice address
- D15 Calle Aa
Ciudad Universitaria
Trujillo Alto, PR 00976-3151 - Phone
- (787) 761-9560
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0723 | PR | Primary |
Addresses
Primary practice location
D15 Calle Aa
Ciudad Universitaria
Trujillo Alto, PR 00976-3151
Mailing address
1521 Calle Cavalieri
Urbanizacion Belisa
San Juan, PR 00927-6122
Phone (787) 767-7249
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 |
|---|---|---|---|
| 0723 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295869261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1521 CALLE CAVALIERI",
"address_2": "URBANIZACION BELISA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276122",
"telephone_number": "787-767-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "D15 CALLE AA",
"address_2": "CIUDAD UNIVERSITARIA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009763151",
"telephone_number": "787-761-9560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOGLAR",
"first_name": "FERNANDO",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "0723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trujillo Alto, 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.