Efrain Espinet Perez, DDS

Individual provider Active NPI General Practice Dentistry · Adjuntas, PR

NPI 1487664801 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487664801
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2188 (PR)
Practice address
22 Calle Munoz Rivera
Adjuntas, PR 00601-2201
Phone
(787) 829-0110
Fax
(787) 829-1338
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160523000712 PR Order and Referring Only - Dentist
Practitioner - Dentist
1153610670

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2188 PR Yes

Addresses

Primary practice location

22 Calle Munoz Rivera
Adjuntas, PR 00601-2201

Mailing address

22 Calle Munoz Rivera
Adjuntas, PR 00601-2201
Phone (787) 829-0110

Other providers in Adjuntas, PR

All providers in Adjuntas, PR · General Practice Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.