Active NPI
Maria M Bermudez, DMD
- Dentist
- Carolina, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2391
- Practice address
- Calle 401 Blo 143 #6
Villa Carolina
Carolina, PR 00985 - Phone
- (787) 768-0485
- Fax
- (787) 776-5461
- NPI assigned
- May 8, 2007
- Last updated
- Mar 13, 2024
- Sex
- Female
- 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 | 2391 | PR | Primary |
Addresses
Primary practice location
Calle 401 Blo 143 #6
Villa Carolina
Carolina, PR 00985
Mailing address
PO Box 1953
Canovanas, PR 00729-1953
Phone (787) 768-0485
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 |
|---|---|---|---|---|
| I20260622002827 | PR | Practitioner - Dentist | 9335552678 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Puerto Rico School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
143 -6 Calle
Suite 401
Carolina, PR 00985
143 -6 Calle
Suite 401
Carolina, PR 00985-4022
Phone (787) 768-0485
Gianna Laura Apartments
Edif 2 Apt 806
Ponce, PR 00716-3714
Plaza Iturregui Mall
1135 65 Inf Suite 203B
San Juan, PR 00924-3402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Carolina, PR
- NPI 1366658684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1376756841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1953",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007291953",
"telephone_number": "787-768-0485",
"fax_number": "787-776-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 401 BLO 143 #6",
"address_2": "VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-768-0485",
"fax_number": "787-776-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "MARIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.