Javier Andres Cevallos Ramos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3444 Issued in PR

Practice address

Torre San Pablo, Suite 702 Calle Santa Cruz #68
Bayamon, PR 00961-7034

Phone

(787) 787-8382

NPI assigned

Nov 29, 2021

Last updated

Jun 7, 2023By the provider in NPPES

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

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.

• JC Dental LLC

  • Dental Clinic/Center
  • Catano, PR
  • NPI 1497459549
  NPD Authorized official

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1417615253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS VEGAS",
            "address_2": "G1, CALLE 3",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00962",
            "telephone_number": "787-449-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO, SUITE 702 CALLE SANTA CRUZ #68",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617034",
            "telephone_number": "787-787-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVALLOS RAMOS",
        "first_name": "JAVIER",
        "middle_name": "ANDRES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cervoni MD LLC
• Ces Dental Group LLC
• Cesa- Accesa Corp
• Oneandra Cespedes
• Isabel E Cestero, M. D.
• Cgcmgt LLC
• Cgcmgt LLC
• Raymond J Chaloka, M.D.
• Lizayra Denille Chapa, PHARM.D.
• Sergio Alejandro Chevere, MD

• 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 Jun 7, 2023; 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.