Active NPI
Ida E. Henn, DMD
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1518082452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1351
- Practice address
- 511 Ave Hostos
Ste. a
San Juan, PR 00918-3230 - Phone
- (787) 754-9585
- Fax
- (787) 274-1385
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1351 | PR | Primary |
Addresses
Primary practice location
511 Ave Hostos
Ste. a
San Juan, PR 00918-3230
Mailing address
27 Calle Santa Anastacia
El Vigia
San Juan, PR 00926-4202
Phone (787) 760-4843
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1351 | PR | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518082452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CALLE SANTA ANASTACIA",
"address_2": "EL VIGIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009264202",
"telephone_number": "787-760-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 AVE HOSTOS",
"address_2": "STE. A",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183230",
"telephone_number": "787-754-9585",
"fax_number": "787-274-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENN",
"first_name": "IDA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Hematology Oncology Care Group LLC
- Hematology Oncology Health Services, PC
- Pablo Eugenio Hemphill, MD
- Isabel Henao Tascon
- Carmen E Henn, MD
- Carlos Enrique Henriquez Felipe, M.D.
- Sebastian Antonio Henriquez Lopez
- Saul Eduardo Henriquez Quinones
- Claudia Suzette Herdocia-Lluberes
- Oriana Heredia Cruz, MD
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.