Active NPI
Tulia De Pena Diaz, DDS
- General Practice Dentistry
- Guayama, PR
National Provider Identifier
1619976487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1852
- Practice address
- Ashford St. 82 Norte
Guayama, PR 00785 - Phone
- (787) 864-1590
- Fax
- (787) 864-4364
- NPI assigned
- Jul 14, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1852 | PR | Primary |
Addresses
Primary practice location
Ashford St. 82 Norte
Guayama, PR 00785
Mailing address
PO Box 1300
Guayama, PR 00785-1300
Phone (787) 864-1590
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perioimplantpr | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Periodontics
- Bayamon, PR
- NPI 1184342925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619976487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1300",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007851300",
"telephone_number": "787-864-1590",
"fax_number": "787-864-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ASHFORD ST. 82 NORTE",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00785",
"telephone_number": "787-864-1590",
"fax_number": "787-864-4364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PENA DIAZ",
"first_name": "TULIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2026-07-13",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "1852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, PR
- Reynaldo Jose De Jesus Carrasquillo, PHARMD
- Eddie Joel De Jesus de Armas, PHARMD
- Amarelis De Jesus Rosario, MD
- Juan Andres De Jesus Soto, MD
- Joel J. De Jesus, MD
- Raul Del Valle Arroyo, MD
- Asia Elizabeth Delgado Lorenzo, M.D.
- Jose Arturo Delgado Lorenzo
- Leyshla Robetsy Delgado Rodriguez, MSW
- Ludivina Delgado, LICENSED OPTICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.