Individual provider Active NPI

Luis Limonta, DMD

  • Dentist
  • San Juan, PR
National Provider Identifier
1417051871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0819 Issued in PR
Practice address
Ave Roosevelt Est Ensenada Tower III #6
Borinquen Towers Shopping Center
San Juan, PR 00920
Phone
(787) 781-8389
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

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
Dentist 122300000X 0819 PR Primary

Addresses

Primary practice location

Ave Roosevelt Est Ensenada Tower III #6
Borinquen Towers Shopping Center
San Juan, PR 00920

Mailing address

PO Box 10194
Caparra
San Juan, PR 00922-0194
Phone (787) 781-8389

Other identifiers 1

IdentifierTypeStateIssuer
0819OtherPRPR BOARD OF DENTAL EXAM

Other names 1

  • Dr. Luis Limonta Professional name

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
0819PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417051871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10194",
            "address_2": "CAPARRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220194",
            "telephone_number": "787-781-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROOSEVELT EST ENSENADA TOWER III #6",
            "address_2": "BORINQUEN TOWERS SHOPPING CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-781-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMONTA",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "0819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR BOARD OF DENTAL EXAM",
            "identifier": "0819",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "LIMONTA",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.