Jose E Pedroza, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1391 Issued in PR

Practice address

Calle 1 Esq 6 Urb Parkside
Cond San Patricio II
San Juan, PR 00968

Phone

(787) 781-1831

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Centro de Reconstruccion Oral E Implantes

  • Dental Clinic/Center
  • Guaynabo, PR
  • NPI 1063919124
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497969505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361357",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361357",
            "telephone_number": "787-781-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 ESQ 6 URB PARKSIDE",
            "address_2": "COND SAN PATRICIO II",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-781-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROZA",
        "first_name": "JOSE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Palou Bosh OB-GYN PSC
• Elsa M Pedro, PHARM D, BCPS, BCOP
• Yasmin Pedrogo, MD
• Orlando Pedrosa, PH.D.
• Alexandra M Pedroza, DC
• Tarimar Pedroza
• Muriel Paola Peguero-Alemany, PHARMD
• Kimberly Natasha Peguero
• Luz M Peier Rodriguez, RN
• Nader M Peikar, MD

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.