Individual provider Active NPI

Nilda M. Sanchez, DMD

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1508800210
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1594 Issued in PR
Practice address
H21 Calle Bailen
Urb. Villa Andalucia
San Juan, PR 00926-2515
Phone
(787) 758-2525
Fax
(787) 761-8497
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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 1594 PR Primary

Addresses

Primary practice location

H21 Calle Bailen
Urb. Villa Andalucia
San Juan, PR 00926-2515

Mailing address

H21 Calle Bailen
Urb. Villa Andalucia
San Juan, PR 00926-2515
Phone (787) 758-2525

Other identifiers 1

IdentifierTypeStateIssuer
1594OtherPRPR DENTIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1594PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1508800210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H21 CALLE BAILEN",
            "address_2": "URB. VILLA ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262515",
            "telephone_number": "787-758-2525",
            "fax_number": "787-761-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H21 CALLE BAILEN",
            "address_2": "URB. VILLA ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262515",
            "telephone_number": "787-758-2525",
            "fax_number": "787-761-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "NILDA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR DENTIST LICENSE",
            "identifier": "1594",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.