Ilsa J Andujar-Matos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1846 Issued in PR

Practice address

123 Ave Barbosa
Catano, PR 00962-6070

Phone

(787) 275-0605

NPI assigned

Feb 27, 2006

Last updated

Mar 17, 2018By 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

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356317549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 292",
            "address_2": "100 GRAND PASEO BLVD STE 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265955",
            "telephone_number": "787-400-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 AVE BARBOSA",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009626070",
            "telephone_number": "787-275-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Calle Betances",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007253707",
            "country_code": "US",
            "telephone_number": "787-704-2325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDUJAR-MATOS",
        "first_name": "ILSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aga Linde Healthcare PR Inc (Med Care)
• Aga Linde Healthcare PR Inc (Med Care Pharmacy)
• Karla Alejandro
• Angel Luis Almanzar Rojas
• Jose D Andrade, M.D.
• Doris Margarita Antunez, O.D.
• Rosa M Arroyo Garcia, MD
• Ginger Nicole Arzon Nieves
• Sharali Ayala
• Jose R Aymat Avila, MT

• General Practice Dentistry in Catano, PR
• Providers in Catano, 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 Mar 17, 2018; 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.