Individual provider Active NPI

Sandra Valcarcel, D.M.D.

  • Dentist
  • Aguas Buenas, PR
National Provider Identifier
1629178702
Registry record updated Nov 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2498 Issued in PR
Practice address
14 Calle Rafael Lasa
Aguas Buenas, PR 00703-3113
Phone
(787) 732-0515
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2498 PR Primary

Addresses

Primary practice location

14 Calle Rafael Lasa
Aguas Buenas, PR 00703-3113

Mailing address

130 Ave Winston Churchill
Ste. 1 PMB 204
San Juan, PR 00926-6013
Phone (787) 732-0515

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
I20150707001495 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244542140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2498PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322092800000",
    "number": "1629178702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVE WINSTON CHURCHILL",
            "address_2": "STE. 1 PMB 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-732-0515",
            "fax_number": "787-653-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE RAFAEL LASA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007033113",
            "telephone_number": "787-732-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCARCEL",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

Verify at the official NPI Registry.