Active NPI
Ana J Delatorre, DMD
- General Practice Dentistry
- Bayamon, PR
National Provider Identifier
1376516237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1483
- 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.
-
- Prosthodontics
- Bayamon, PR
- NPI 1366242497
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 |
|---|---|---|---|---|
| I20160520000094 | PR | Order and Referring Only - Oral Surgery | 7618266248 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avr Prosthodontics LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1483 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41401 | Other | PR | SSS 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.