Boris M Zepeda, D.M.D., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN16097 Issued in FL

Practice address

117 Calle de Diego E
Mayaguez, PR 00680-5028

Phone

(787) 652-3502

Fax

(787) 652-4306

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Mayaguez Endodontics

  • Endodontics
  • Mayaguez, PR
  • NPI 1427479674
  NPD (past) Authorized official
• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1295999324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CALLE DE DIEGO ESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-3502",
            "fax_number": "787-652-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CALLE DE DIEGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805028",
            "telephone_number": "787-652-3502",
            "fax_number": "787-652-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "BORIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jose Zamora Lopez
• Mary T Zamora Lopez, M.D.
• Jose J. Zamora-Alvarez
• Jessica Zapata, PSIC.
• Iris Zoraida Zavala, PH.D.
• Zorimas Billing Service Corp
• Zully Rubi Dental LLC

• Endodontics in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Endodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.