Individual provider Active NPI

Jose Juan Nunez-Orta, DMD

  • Dentist
  • Ponce, PR
National Provider Identifier
1437548658
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3185 Issued in PR
Practice address
2053 Ponce by Pass
Edificio Centro Caribe Suite 202
Ponce, PR 00717-1308
Phone
(787) 244-7410
NPI assigned
Jan 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3185 PR Primary

Addresses

Primary practice location

2053 Ponce by Pass
Edificio Centro Caribe Suite 202
Ponce, PR 00717-1308

Mailing address

2053 Ponce by Pass
Edificio Centro Caribe Suite 202
Ponce, PR 00717-0000
Phone (787) 244-7410

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
I20170227001381 PR Order and Referring Only - DentistPractitioner - Dentist 2365726957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3185PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1437548658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 PONCE BY PASS",
            "address_2": "EDIFICIO CENTRO CARIBE SUITE 202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170000",
            "telephone_number": "787-244-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 PONCE BY PASS",
            "address_2": "EDIFICIO CENTRO CARIBE SUITE 202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171308",
            "telephone_number": "787-244-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ-ORTA",
        "first_name": "JOSE",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.