Active NPI
Nelson Roura
- Prosthodontics
- San Juan, PR
National Provider Identifier
1316181373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 742
- Practice address
- 464 Ave de Hostos
San Juan, PR 00918-3015 - Phone
- (787) 756-6195
- Fax
- (787) 767-2653
- NPI assigned
- Apr 21, 2009
- Last updated
- Apr 21, 2009
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 742 | PR | Primary |
Addresses
Primary practice location
464 Ave de Hostos
San Juan, PR 00918-3015
Mailing address
464 Ave de Hostos
San Juan, PR 00918-3015
Phone (787) 756-6195
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 |
|---|---|---|---|
| 742 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1316181373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 AVE DE HOSTOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183015",
"telephone_number": "787-756-6195",
"fax_number": "787-767-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 AVE DE HOSTOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183015",
"telephone_number": "787-756-6195",
"fax_number": "787-767-2653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROURA",
"first_name": "NELSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.