Individual provider Active NPI

Hector M. Nater, DMD

  • Endodontics
  • Ponce, PR
National Provider Identifier
1417954413
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1189 Issued in PR
Practice address
2053 Ponce by Pass Ave.
Suite 205
Ponce, PR 00717-1309
Phone
(787) 841-4911
Fax
(787) 841-4911
NPI assigned
Jul 5, 2005
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 1189 PR Primary

Addresses

Primary practice location

2053 Ponce by Pass Ave.
Suite 205
Ponce, PR 00717-1309

Mailing address

609 Tito Castro Ave.
Suite 102 PMB 388
Ponce, PR 00716-2232
Phone (787) 841-4911

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171009000017 PR Order and Referring Only - DentistPractitioner - Dentist 4385919984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1189PRMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1417954413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 TITO CASTRO AVE.",
            "address_2": "SUITE 102 PMB 388",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162232",
            "telephone_number": "787-841-4911",
            "fax_number": "787-841-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 PONCE BY PASS AVE.",
            "address_2": "SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171309",
            "telephone_number": "787-841-4911",
            "fax_number": "787-841-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATER",
        "first_name": "HECTOR",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.