Active NPI
Christian C Cacho
- Endodontics
- San Juan, PR
National Provider Identifier
1639329832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2808
- Practice address
- Cond. Iberia I, Apt. 301
Altamira
San Juan, PR 00920-2515 - Phone
- (787) 237-7347
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 054070 | NY | |
| Endodontics | 1223E0200X | 2808 | PR | Primary |
Addresses
Primary practice location
Cond. Iberia I, Apt. 301
Altamira
San Juan, PR 00920-2515
Mailing address
Cond. Iberia I, Apt. 301
Altamira
San Juan, PR 00920-2515
Phone (787) 237-7347
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 |
|---|---|---|---|
| 054070 | NY | MD | Dentist |
| 2808 | PR | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1639329832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. IBERIA I, APT. 301",
"address_2": "ALTAMIRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009202515",
"telephone_number": "787-237-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. IBERIA I, APT. 301",
"address_2": "ALTAMIRA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009202515",
"telephone_number": "787-237-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACHO",
"first_name": "CHRISTIAN",
"middle_name": "C",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054070",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PR",
"license": "2808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.