Blanca Anglada, D.M.D

Key facts

NPI

1417099375

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

1537 (PR)

Practice address

Edificio Dr. Arturo Cadilla Vinas
Suite 506 Paseo San Pablo 100
Bayamon, PR 00961

Phone

(787) 740-2770

Fax

(787) 740-2770

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2024.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1417099375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 CALLE TIBER",
            "address_2": "EL PARAISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262945",
            "telephone_number": "787-767-7106",
            "fax_number": "787-749-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO DR. ARTURO CADILLA VINAS",
            "address_2": "SUITE 506 PASEO SAN PABLO 100",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-740-2770",
            "fax_number": "787-740-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLADA",
        "first_name": "BLANCA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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