Individual provider Active NPI

Manuel Ferran, DMD

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1376603613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1511 Issued in PR
Practice address
A5 Calle 24
Villas de Santa Juanita
Bayamon, PR 00956-4778
Phone
(787) 787-8605
NPI assigned
Dec 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1511 PR Primary

Addresses

Primary practice location

A5 Calle 24
Villas de Santa Juanita
Bayamon, PR 00956-4778

Mailing address

50 Ave a Apt 106
Bayamon, PR 00959-8789

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
I20150701002533 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062724149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376603613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE A APT 106",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A5 CALLE 24",
            "address_2": "VILLAS DE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564778",
            "telephone_number": "787-787-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAN",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.