Individual provider Active NPI

Javier Calero Doitteau, D.M.D

  • Pediatric Dentistry
  • Caguas, PR
National Provider Identifier
1386050466
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3233 Issued in PR
Practice address
Plaza del Carmen Mall
Local #22, Carr #172 Int Carr #1
Caguas, PR 00725
Phone
(787) 745-6220
NPI assigned
Jul 9, 2014
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3233 PR Primary

Addresses

Primary practice location

Plaza del Carmen Mall
Local #22, Carr #172 Int Carr #1
Caguas, PR 00725

Mailing address

PO Box 194522
San Juan, PR 00919-4522
Phone (939) 644-3866

Other identifiers 1

IdentifierTypeStateIssuer
038556400MedicaidPR

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

LicenseStateTypeSpecialty
3233PRMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Diego Gallardo Torres-Aguiar PSC PastSince Oct 9, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: javier.calero@hpmpr.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1386050466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194522",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194522",
            "telephone_number": "939-644-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA DEL CARMEN MALL",
            "address_2": "LOCAL #22, CARR #172 INT CARR #1",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-745-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALERO DOITTEAU",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "3233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038556400",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.