Active NPI
Zuleima Nieves de Jesus
- Dental Assistant
- Patillas, PR
National Provider Identifier
1366918799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 004801
- Practice address
- 99 Calle Guillermo Riefkkohl
Salida a Patillas
Patillas, PR 00723-0000 - Phone
- (787) 839-4320
- Fax
- (787) 271-0004
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 004801 | PR | Primary |
Addresses
Primary practice location
99 Calle Guillermo Riefkkohl
Salida a Patillas
Patillas, PR 00723-0000
Mailing address
99 Calle Guillermo Riefkkohl
Salidas a Patillas
Patillas, PR 00723
Phone (787) 839-4320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123377 | Other | PR | REGISTRY ID NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004801 | PR | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1366918799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKKOHL",
"address_2": "SALIDAS A PATILLAS",
"city": "PATILLAS",
"state": "PR",
"postal_code": "00723",
"telephone_number": "787-839-4320",
"fax_number": "787-271-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CALLE GUILLERMO RIEFKKOHL",
"address_2": "SALIDA A PATILLAS",
"city": "PATILLAS",
"state": "PR",
"postal_code": "007230000",
"telephone_number": "787-839-4320",
"fax_number": "787-271-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES DE JESUS",
"first_name": "ZULEIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "PR",
"license": "004801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTRY ID NO.",
"identifier": "123377",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patillas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.