Individual provider Active NPI

Hipolito Fantauzzi-Ortiz, DMD

  • General Practice Dentistry
  • Aguadilla, PR
National Provider Identifier
1659377745
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0561 Issued in PR
Practice address
2 Calle Progreso
Aguadilla, PR 00603-5000
Phone
(787) 891-2555
Fax
(787) 891-2555
NPI assigned
Jun 22, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0561 PR Primary

Addresses

Primary practice location

2 Calle Progreso
Aguadilla, PR 00603-5000

Mailing address

PO Box 621
Aguadilla, PR 00605-0621
Phone (787) 891-2555

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
I20160419000924 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133427529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0561PRMDGeneral Practice Dentistry
561PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659377745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050621",
            "telephone_number": "787-891-2555",
            "fax_number": "787-891-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE PROGRESO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035000",
            "telephone_number": "787-891-2555",
            "fax_number": "787-891-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTAUZZI-ORTIZ",
        "first_name": "HIPOLITO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "0561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.