Individual provider Active NPI

Ramon Arnaldo Lasa-Morales, D.M.D.

  • General Practice Dentistry
  • Guaynabo, PR
National Provider Identifier
1609914589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1092 Issued in PR
Practice address
21 Calle Belen
Alturas de San Patricio
Guaynabo, PR 00968-3123
Phone
(787) 732-8374
Fax
(787) 732-1870
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1092 PR Primary

Addresses

Primary practice location

21 Calle Belen
Alturas de San Patricio
Guaynabo, PR 00968-3123

Mailing address

31 Munoz Rivera
Aguas Buenas, PR 00703
Phone (787) 732-8374

Other names 1

  • Dr. Arnaldo Lasa-Morales Professional name

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
I20170202000587 PR Order and Referring Only - DentistPractitioner - Dentist 2264715028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1092PRMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609914589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MUNOZ RIVERA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-732-8374",
            "fax_number": "787-732-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CALLE BELEN",
            "address_2": "ALTURAS DE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683123",
            "telephone_number": "787-732-8374",
            "fax_number": "787-732-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASA-MORALES",
        "first_name": "RAMON",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARNALDO",
            "last_name": "LASA-MORALES",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.