Individual provider Active NPI

Cristina N. Caro, DMD

  • General Practice Dentistry
  • San Lorenzo, PR
National Provider Identifier
1386080125
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3033 Issued in PR
Practice address
186 Munoz Rivera Ave.
San Lorenzo, PR 00754
Phone
(787) 736-3655
NPI assigned
May 20, 2013
Last updated
May 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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 3033 PR Primary

Addresses

Primary practice location

186 Munoz Rivera Ave.
San Lorenzo, PR 00754

Mailing address

186 Calle Munoz Rivera S
San Lorenzo, PR 00754-4212
Phone (787) 736-3655

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
I20160413001687 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577861285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3033PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistas Misioneros de PR (Dmdpr) Past Accepting new patients

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1386080125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CALLE MUNOZ RIVERA S",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544212",
            "telephone_number": "787-736-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MUNOZ RIVERA AVE.",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARO",
        "first_name": "CRISTINA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

Verify at the official NPI Registry.