Liana I Boada, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1045 Issued in PR

Practice address

239 Ave Arterial Hostos
Suite 1103
San Juan, PR 00918-1477

Phone

(787) 754-7747

Fax

(787) 754-7747

NPI assigned

Jan 30, 2007

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kore Group LLC

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1053232736
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1295872406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 1103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181477",
            "telephone_number": "787-754-7747",
            "fax_number": "787-754-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "SUITE 1103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181477",
            "telephone_number": "787-754-7747",
            "fax_number": "787-754-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADA",
        "first_name": "LIANA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Enid Blasini, MD
• Blessing Therapy
• Maximo C Blondet Passalacqua, MD,FCCP
• BM Radiology PSC
• BMS Sales & Services, Inc.
• Board Certified Oncology Group LLC
• Dory Bodon
• Sergio Bogoljubskij
• Cynthia Bojito, LICENCIADA
• Orlando Bolet, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.