Individual provider Active NPI

Dana M Ortiz-Sastre, D.M.D.

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1487990297
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3168 Issued in PR
Practice address
Ig15 Calle Crisantemo
Urb. Royal Palm
Bayamon, PR 00956-3111
Phone
(787) 757-1800
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3168 PR Primary

Addresses

Primary practice location

Ig15 Calle Crisantemo
Urb. Royal Palm
Bayamon, PR 00956-3111

Mailing address

Royal Palm Ig-15
Crisantemo St.
Bayamon, PR 00956
Phone (787) 757-1800

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
I20231026004160 PR Practitioner - Dentist 4981918026 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3168PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc General Practice CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1487990297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROYAL PALM IG-15",
            "address_2": "CRISANTEMO ST.",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-757-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IG15 CALLE CRISANTEMO",
            "address_2": "URB. ROYAL PALM",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563111",
            "telephone_number": "787-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-SASTRE",
        "first_name": "DANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.