Alfonso Cuesta, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1417 Issued in PR

Practice address

76 Calle Dr Veve
Bayamon, PR 00961-6306

Phone

(787) 780-4300

Fax

(787) 778-7453

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• JC Medical Derm LLC

  • Dermatology Physician
  • Bayamon, PR
  • NPI 1366379992
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1407966948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CALLE DR VEVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE DR VEVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616306",
            "telephone_number": "787-780-4300",
            "fax_number": "787-778-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUESTA",
        "first_name": "ALFONSO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Noemi Cuadrado, OTL
• Johanne Cubero Rodriguez
• Dianne Cuebas
• Brenda Iris Cuello - Almestica, MD
• Jose Manuel Cuesta Camunas, MD
• Carol Jomely Cuevas Dejesus
• Tirzah Cuevas
• Cuidado Pediatrico Integral
• Gilmarie Cumba Llavona, M.D.
• Ricardo J Cumba-Bermudez, M.D.

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.

Verify at the official NPI Registry.