Pedro Luis Emanuelli, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1420 Issued in PR

Practice address

1503 Calle Prof Augusto Rodrigue
3Rd Floor
San Juan, PR 00909-2275

Phone

(787) 727-8340

Fax

(787) 727-8310

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346362969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUE",
            "address_2": "3RD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-727-8340",
            "fax_number": "787-727-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUE",
            "address_2": "3RD FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-727-8340",
            "fax_number": "787-727-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMANUELLI",
        "first_name": "PEDRO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Periodontics
• Juliette Siham Elmusa Rivera, LND
• Vanessa Elvira, MA
• Omar Elwishahi, MD
• Natalie Ivelisse Emanuelli Vazquez
• Emcara Health of Puerto Rico, LLC
• Eme Dental Clinic
• Emerge PBC (Emergemos)
• Emergency & Pediatric Specialists of P.R. PSC
• Emergency Department Medical Services, CSP (Edms,CSP)

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• 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.

Verify at the official NPI Registry.