Active NPI
Michelle M Recio, DMD
- General Practice Dentistry
- Salinas, PR
National Provider Identifier
1639219322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2332
- Practice address
- 8 Calle E
Sur-Med Medical Center
Salinas, PR 00751-2836 - Phone
- (787) 824-7293
- Fax
- (787) 824-7293
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2332 | PR | Primary |
| General Practice Dentistry | 1223G0001X | 14703 | FL |
Addresses
Primary practice location
8 Calle E
Sur-Med Medical Center
Salinas, PR 00751-2836
Mailing address
6300 Ave Isla Verde
Cond. la Mancha Apt. 212
Carolina, PR 00979-7153
Phone (787) 824-7293
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 |
|---|---|---|---|
| 14703 | FL | MD | General Practice Dentistry |
| 2332 | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oficina Dental Dra. Michelle Recio PSC | 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.
-
- Dental Clinic/Center
- Salinas, PR
- NPI 1467588038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639219322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 AVE ISLA VERDE",
"address_2": "COND. LA MANCHA APT. 212",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009797153",
"telephone_number": "787-824-7293",
"fax_number": "787-824-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CALLE E",
"address_2": "SUR-MED MEDICAL CENTER",
"city": "SALINAS",
"state": "PR",
"postal_code": "007512836",
"telephone_number": "787-824-7293",
"fax_number": "787-824-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECIO",
"first_name": "MICHELLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2332",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "14703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.