Liliana Berrocal, DMD
Individual provider Active NPI Dentist · Bayamon, PR
NPI 1487716007 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487716007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1887 (PR)
- Practice address
- Betances Ave Urb Hermanas Davila
#I8
Bayamon, PR 00959-5109 - Phone
- (787) 780-7509
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609000171 | PR | Order and Referring Only - Dentist |
0345530051 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1887 | PR | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1887 | PR | Yes |
Addresses
Primary practice location
Betances Ave Urb Hermanas Davila
#I8
Bayamon, PR 00959-5109
Mailing address
Callet 6 Urb Alturas del Rio
#K13
Bayamon, PR 00959-8902
Phone (787) 780-7509
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.