Active NPI
Ileane Amador, DMD
- Dentist
- Barceloneta, PR
National Provider Identifier
1568427268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2609
- Practice address
- Ave Escobar #13
Barceloneta, PR 00617 - Phone
- (787) 846-5010
- Fax
- (787) 846-5010
- NPI assigned
- Apr 18, 2006
- Last updated
- May 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2609 | PR | Primary |
Addresses
Primary practice location
Ave Escobar #13
Barceloneta, PR 00617
Mailing address
PO Box 3994
Aguadilla, PR 00605
Phone (787) 356-2080
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 |
|---|---|---|---|
| 2609 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1568427268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3994",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00605",
"telephone_number": "787-356-2080",
"fax_number": "787-846-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE ESCOBAR #13",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "00617",
"telephone_number": "787-846-5010",
"fax_number": "787-846-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMADOR",
"first_name": "ILEANE",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barceloneta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.