Active NPI
Juan Antonio Panelli Ramery, D.M.D
- Dentist
- Ponce, PR
National Provider Identifier
1366598328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1718
- Practice address
- 9146 Marina
Suite 101
Ponce, PR 00717-1586 - Phone
- (787) 505-8700
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1718 | PR | Primary |
Addresses
Primary practice location
9146 Marina
Suite 101
Ponce, PR 00717-1586
Mailing address
9146 Calle Marina
Ste 101
Ponce, PR 00717-2044
Phone (787) 505-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1718 | Other | PR | MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161027001270 | PR | Order and Referring Only - Oral Surgery | 0840578738 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1718 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1366598328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9146 CALLE MARINA",
"address_2": "STE 101",
"city": "PONCE",
"state": "PR",
"postal_code": "007172044",
"telephone_number": "787-505-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9146 MARINA",
"address_2": "SUITE 101",
"city": "PONCE",
"state": "PR",
"postal_code": "007171586",
"telephone_number": "787-505-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANELLI RAMERY",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "1718",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
- Ginnell Marie Palomo Colon, M.ED.
- Wilmarie Palomo Colon, PH.D
- Pamg Independent Practice Network Corp
- Pamg Independent Practice Network Corp.
- Pamg Selecto, Inc
- Jose Enrique Panelli, MD
- Pedro Panelli
- Pedro Ferdinand Panelli, MD, MS, FACP
- Yomaira Alvarez Panelli, PTA
- Mariella Cristina Pappaterra-Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.