Individual provider Active NPI

Hilda Rodriguez Nieves, D.M.D.

  • General Practice Dentistry
  • Guaynabo, PR
National Provider Identifier
1639114226
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
000815 Issued in PR
Practice address
140 Calle Carazo
Guaynabo, PR 00969-4922
Phone
(787) 708-8888
Fax
(787) 708-0675
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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 000815 PR Primary

Addresses

Primary practice location

140 Calle Carazo
Guaynabo, PR 00969-4922

Mailing address

50 San Jose Apt 1305
Cond San Francinco Javier
Guaynabo, PR 00969
Phone (787) 720-2774

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
I20161101000955 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8820376528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000815PRMDPharmacy Technician
815PRMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guaynabo Dental Care General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1639114226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SAN JOSE APT 1305",
            "address_2": "COND SAN FRANCINCO JAVIER",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-720-2774",
            "fax_number": "787-720-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CALLE CARAZO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694922",
            "telephone_number": "787-708-8888",
            "fax_number": "787-708-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ NIEVES",
        "first_name": "HILDA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "000815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.