Individual provider Active NPI

Stephanie Aileen Calo de la Torre, DMD

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1548728322
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3369 Issued in PR
Practice address
Urb. Altamesa
Ave. San Alfonso 1324
San Juan, PR 00921
Phone
(787) 767-7148
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 3369 PR Primary

Addresses

Primary practice location

Urb. Altamesa
Ave. San Alfonso 1324
San Juan, PR 00921

Mailing address

150 Conector C Apt 232
Trujillo Alto, PR 00976-2271
Phone (787) 462-2700

Other practice location 1

Centro Comercial Plaza Del Parque
1500 Ave Comerio Suite 94
Bayamon, PR 00960
Phone (787) 296-4092

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
I20220503000480 PR Practitioner - Dentist 4284021791 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3369PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orahealth LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

1324 Ave San Alfonso
San Juan, PR 00921
Phone (787) 767-7148

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1548728322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CONECTOR C APT 232",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009762271",
            "telephone_number": "787-462-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. ALTAMESA",
            "address_2": "AVE. SAN ALFONSO 1324",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-767-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Centro Comercial Plaza Del Parque",
            "address_2": "1500 AVE COMERIO SUITE 94",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "country_code": "US",
            "telephone_number": "787-296-4092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALO DE LA TORRE",
        "first_name": "STEPHANIE",
        "middle_name": "AILEEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.