Individual provider Active NPI

Amy Chanett Silvestrini Villanueva

  • Dentist
  • San Juan, PR
National Provider Identifier
1518594613
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3416 Issued in PR
Practice address
San Juan Dental Center
456 Av Tte Cesar Luis Gonzalez
San Juan, PR 00918
Phone
(787) 753-2376
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3416 PR Primary

Addresses

Primary practice location

San Juan Dental Center
456 Av Tte Cesar Luis Gonzalez
San Juan, PR 00918

Mailing address

The Village at Suchville
1 Calle San Miguel Apt 65
Guaynabo, PR 00966
Phone (787) 423-2534

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
I20230908001454 PR Practitioner - Dentist 7719341783 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1518594613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE VILLAGE AT SUCHVILLE",
            "address_2": "1 CALLE SAN MIGUEL APT 65",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-423-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN JUAN DENTAL CENTER",
            "address_2": "456 AV TTE CESAR LUIS GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-753-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVESTRINI VILLANUEVA",
        "first_name": "AMY",
        "middle_name": "CHANETT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.