Individual provider Active NPI

Ana J Delatorre, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1376516237
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1483 Issued in PR
Practice address
Urb. Royal Town
Calle 13 a-20
Bayamon, PR 00956
Phone
(787) 799-1170
Fax
(787) 799-5052
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

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
I20160520000094 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618266248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1483PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Avr Prosthodontics LLC PastSince Mar 24, 2025 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1483 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

Urb. Royal Town
Calle 13 a-20
Bayamon, PR 00956

Mailing address

Urb. Royal Town
A-20 Calle 13
Bayamon, PR 00956
Phone (787) 799-1170

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
41401OtherPRSSS PROVIDER ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2016.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1376516237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ROYAL TOWN",
            "address_2": "A-20 CALLE 13",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-799-1170",
            "fax_number": "787-799-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ROYAL TOWN",
            "address_2": "CALLE 13 A-20",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-799-1170",
            "fax_number": "787-799-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATORRE",
        "first_name": "ANA",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER ID",
            "identifier": "41401",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.