Individual provider Active NPI

Tania Maria Macias, D.M.D.

  • Dentist
  • San Juan, PR
National Provider Identifier
1417299686
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1802 Issued in PR
Practice address
600 Blvd de la Montana Apt 427
Urb. Arboles de Montehiedra
San Juan, PR 00926-7120
Phone
(787) 525-1500
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1802 PR Primary

Addresses

Primary practice location

600 Blvd de la Montana Apt 427
Urb. Arboles de Montehiedra
San Juan, PR 00926-7120

Mailing address

600 Blvd de la Montana Apt 427
Urb. Arboles de Montehiedra
San Juan, PR 00926-7120
Phone (787) 525-1500

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
1802PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1417299686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLVD DE LA MONTANA APT 427",
            "address_2": "URB. ARBOLES DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267120",
            "telephone_number": "787-525-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BLVD DE LA MONTANA APT 427",
            "address_2": "URB. ARBOLES DE MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267120",
            "telephone_number": "787-525-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "TANIA",
        "middle_name": "MARIA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 26, 2013; 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.