Individual provider Active NPI

Cesar Ramon Talavera

  • Oral and Maxillofacial Surgery (Dentist)
  • Hatillo, PR
National Provider Identifier
1447459300
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2718 Issued in PR
Practice address
Carr. 493, KM 0.9, Bo Carrizales
Del Norte Proffesional Center
Hatillo, PR 00659
Phone
(787) 403-4385
NPI assigned
Jul 12, 2007
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2718 PR Primary

Addresses

Primary practice location

Carr. 493, KM 0.9, Bo Carrizales
Del Norte Proffesional Center
Hatillo, PR 00659

Mailing address

HC 1 Box 7268
Hatillo, PR 00659-7335
Phone (787) 403-4385

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811003580 PR Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2769557933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2718PRMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1447459300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 7268",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006597335",
            "telephone_number": "787-403-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 493, KM 0.9, BO CARRIZALES",
            "address_2": "DEL NORTE PROFFESIONAL CENTER",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-403-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "CESAR",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.