Stephanie Monique Marrero Cervoni, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3473 Issued in PR

Practice address

D15 Calle Aa
Trujillo Alto, PR 00976-3151

Phone

(787) 425-0860

NPI assigned

Mar 11, 2022

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DML Dental Services LLC

  dba DML Cosmetic Dentistry

  • Dental Clinic/Center
  • San Juan, PR
  • NPI 1902304306
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1417605270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVE LAS CUMBRES APT 116",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694805",
            "telephone_number": "787-667-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D15 CALLE AA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763151",
            "telephone_number": "787-425-0860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 Calle Aldebaran Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009204227",
            "country_code": "US",
            "telephone_number": "787-230-7573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO CERVONI",
        "first_name": "STEPHANIE",
        "middle_name": "MONIQUE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3473",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Malave, RPH
• Yaritza M Maldonado Berrios, LCDA
• Rosa G Maldonado Esparra
• Maris H Maldonado-Rojas, M.A.
• Gloria Z Marchand, RPH
• Lourdes Marrero Diaz, M.D.
• Nadina Velez Marrero
• Andrea Sofia Martinez Garcia, MD
• Alberto Luis Martinez, DMD
• Awilda C. Martinez, M.D.

• Dentist in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.