Individual provider Active NPI

Mario Sanchez-Torres, DMD

  • Prosthodontics
  • Carolina, PR
National Provider Identifier
1356457105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2670 Issued in PR
Practice address
GK40 Ave. Campo Rico
Carolina, PR 00982-2657
Phone
(787) 239-1271
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2670 PR Primary

Addresses

Primary practice location

GK40 Ave. Campo Rico
Carolina, PR 00982-2657

Mailing address

Ak42 Calle India
Bayamon, PR 00956-4650
Phone (787) 239-1271

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
I20151202000610 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8820398597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2670PRMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356457105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AK42 CALLE INDIA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564650",
            "telephone_number": "787-239-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GK40 AVE. CAMPO RICO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822657",
            "telephone_number": "787-239-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ-TORRES",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.