Individual provider Active NPI

Fernando L Iturrino, D.M.D.

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1659487577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1145 Issued in PR
Practice address
8 Calle de Diego
San Juan, PR 00925-2929
Phone
(787) 764-0512
Fax
(787) 758-0203
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1145 PR Primary

Addresses

Primary practice location

8 Calle de Diego
San Juan, PR 00925-2929

Mailing address

8 Calle de Diego
San Juan, PR 00925-2929
Phone (787) 764-0512

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
I20180921002457 PR Order and Referring Only - DentistPractitioner - Dentist 1355692849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1145PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659487577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252929",
            "telephone_number": "787-764-0512",
            "fax_number": "787-758-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE DE DIEGO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252929",
            "telephone_number": "787-764-0512",
            "fax_number": "787-758-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITURRINO",
        "first_name": "FERNANDO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.