Individual provider Active NPI

Margarita M Vincenty I, DMD

  • General Practice Dentistry
  • Ponce, PR
National Provider Identifier
1356336176
Registry record updated Jun 4, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1899 Issued in PR
Practice address
4803 Calle Sirio
Urb Starlight
Ponce, PR 00717-1462
Phone
(787) 840-4747
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1899 PR Primary

Addresses

Primary practice location

4803 Calle Sirio
Urb Starlight
Ponce, PR 00717-1462

Mailing address

4803 Calle Sirio
Urb Starlight
Ponce, PR 00717-1462
Phone (787) 840-4747

Other identifiers 1

IdentifierTypeStateIssuer
12OtherPRDENTIST

Other names 1

  • Dr. Margarita M Vincenty Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201110002036 PR Practitioner - Dentist 8729386503 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1356336176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 CALLE SIRIO",
            "address_2": "URB STARLIGHT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171462",
            "telephone_number": "787-840-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 CALLE SIRIO",
            "address_2": "URB STARLIGHT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171462",
            "telephone_number": "787-840-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTY",
        "first_name": "MARGARITA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "12",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARITA",
            "last_name": "VINCENTY",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.