NPIMap

Organization Active NPI

Soc Dres Atilano Leon, Jose a Morales, Edgar Echevarria

  • Oral and Maxillofacial Surgery (Dentist)
  • Rio Piedras, PR
National Provider Identifier
1649485657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SOC DRES ATILANO LEON, JOSE A MORALES, EDGAR ECHEVARRIA
Practice address
570 Calle Napoles Ste 208
Concordia Gardens Shopping Ctr
Rio Piedras, PR 00924-4605
Phone
(787) 755-4347
Fax
(787) 283-7440
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Emma Gisela Montanez
Title
Administrator
Phone
(787) 374-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X PR Primary

Addresses

Primary practice location

570 Calle Napoles Ste 208
Concordia Gardens Shopping Ctr
Rio Piedras, PR 00924-4605

Mailing address

PO Box 29736
San Juan, PR 00929-0736
Phone (787) 755-4347

Other identifiers 3

IdentifierTypeStateIssuer
004-0826CIOtherPRSSS PROVIDER NOMBER
067099OtherPRLA CRUZ AZUL PROVIDER NOM
4390OtherPRPMC PROVIDER NOMBER

Other names 1

  • Soc Cirugia Oral y Maxilofacial Doing business as

National Provider Directory

National Provider Directory

Locations

570 Calle Napoles
Ste 208
San Juan, PR 00924

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649485657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29736",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290736",
            "telephone_number": "787-755-4347",
            "fax_number": "787-283-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CALLE NAPOLES STE 208",
            "address_2": "CONCORDIA GARDENS SHOPPING CTR",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009244605",
            "telephone_number": "787-755-4347",
            "fax_number": "787-283-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOC DRES ATILANO LEON, JOSE A MORALES, EDGAR ECHEVARRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "GISELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-374-1181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER NOMBER",
            "identifier": "004-0826CI",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL PROVIDER NOM",
            "identifier": "067099",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROVIDER NOMBER",
            "identifier": "4390",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soc Cirugia Oral y Maxilofacial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.