Karla Alejandra Raffucci Velazquez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3507 Issued in PR

Practice address

13 Calle Barcelo
Barranquitas, PR 00794-1710

Phone

(787) 857-3818

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro de Bienestar Dental

  • Dental Clinic/Center
  • Barranquita, PR
  • NPI 1245075035
  NPD
• Micol Hernandez Rivera LLC

  • Periodontics
  • San Juan, PR
  • NPI 1083249122
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1366160046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 154",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE BARCELO",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941710",
            "telephone_number": "787-857-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFUCCI VELAZQUEZ",
        "first_name": "KARLA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norberto L Plaza, DMD
• Maria Alejandra Portela Vazquez
• Psique Clinica de Salud Mental L.L.C.
• Quality Care Medical Supply and Equipment Corp
• Quiropractica de la Isla LLC
• Revolution Paramedic Ambulance Systems, Corp
• Aracelis Rios, RPH
• Awilda Rios
• Iris Jannette Rios, AX
• Rivera Ambulance

• General Practice Dentistry in Barranquitas, PR
• Providers in Barranquitas, 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 Nov 6, 2024; 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.