Individual provider Active NPI

Carlos Ramon Urrutia, D.M.D.

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1497740385
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1449 Issued in PR
Practice address
E122 Carr 860
Rolling Hills
Carolina, PR 00987-7010
Phone
(787) 769-0840
Fax
(939) 204-1237
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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 1449 PR Primary

Addresses

Primary practice location

E122 Carr 860
Rolling Hills
Carolina, PR 00987-7010

Mailing address

PO Box 1246
Trujillo Alto, PR 00977-1246
Phone (787) 769-0840

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
I20160909002356 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7517253958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1449PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1497740385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1246",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771246",
            "telephone_number": "787-769-0840",
            "fax_number": "939-204-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E122 CARR 860",
            "address_2": "ROLLING HILLS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877010",
            "telephone_number": "787-769-0840",
            "fax_number": "939-204-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "CARLOS",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.