Individual provider Active NPI

Victor Manuel Gonzalez-Estrada Jr., DDS

  • Dentist
  • Santurce, PR
National Provider Identifier
1487611836
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1934 Issued in PR
Practice address
De Diego Ave
#150 Suite 709
Santurce, PR 00907
Phone
(787) 724-0660
Fax
(787) 724-0660
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1934 PR Primary

Addresses

Primary practice location

De Diego Ave
#150 Suite 709
Santurce, PR 00907

Mailing address

De Diego Ave
#150 Suite 709
Santurce, PR 00907
Phone (787) 724-0660

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
I20160627000097 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072804848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1934PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487611836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DE DIEGO AVE",
            "address_2": "#150 SUITE 709",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-724-0660",
            "fax_number": "787-724-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DE DIEGO AVE",
            "address_2": "#150 SUITE 709",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-724-0660",
            "fax_number": "787-724-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-ESTRADA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.