Individual provider Active NPI

Carlos R. Falcon-Camacho, D.M.D.

  • Dentist
  • Bayamon, PR
National Provider Identifier
1508917188
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2229 Issued in PR
Practice address
Centro de Epidemiologa de Bayamn
Calle Isabel II Esq Calle Degetau
Bayamon, PR 00960
Phone
(787) 798-2964
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2229 PR Primary

Addresses

Primary practice location

Centro de Epidemiologa de Bayamn
Calle Isabel II Esq Calle Degetau
Bayamon, PR 00960

Mailing address

Riachuelo
Ro-14 Corrientes St.
Trujillo Alto, PR 00976
Phone (787) 761-3447

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
I20210902001780 PR Practitioner - Dentist 3274939004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2229PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Bayamon CurrentSince May 6, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508917188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIACHUELO",
            "address_2": "RO-14 CORRIENTES ST.",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-761-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO DE EPIDEMIOLOGA DE BAYAMN",
            "address_2": "CALLE ISABEL II ESQ CALLE DEGETAU",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-798-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON-CAMACHO",
        "first_name": "CARLOS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.