Active NPI
Luis Garraton, M.D.
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1447312418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1349
- Practice address
- 1324 Ave San Alfonso
Altamesa
San Juan, PR 00921-3619 - Phone
- (787) 793-1810
- Fax
- (787) 781-3391
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1349 | PR | Primary |
Addresses
Primary practice location
1324 Ave San Alfonso
Altamesa
San Juan, PR 00921-3619
Mailing address
147 Calle Crisantemo
San Francisco
San Juan, PR 00927-6311
Phone (787) 763-2334
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41225 | Other | PR | SSS |
| 4206 | Other | PR | IMC |
| 9210087 | Other | PR | HUMANA |
| 040987 | Other | PR | LCA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1349 | PR | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447312418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 CALLE CRISANTEMO",
"address_2": "SAN FRANCISCO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009276311",
"telephone_number": "787-763-2334",
"fax_number": "787-781-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 AVE SAN ALFONSO",
"address_2": "ALTAMESA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213619",
"telephone_number": "787-793-1810",
"fax_number": "787-781-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRATON",
"first_name": "LUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "41225",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "4206",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9210087",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCA",
"identifier": "040987",
"state": "PR"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.