Individual provider Active NPI

Diosdada P Nigaglioni, DMD

  • Dentist
  • Ponce, PR
National Provider Identifier
1679634620
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2003 Issued in PR
Practice address
Urb San Antonio 531
Carr Guayanilla Ste 1
Ponce, PR 00717-1791
Phone
(787) 842-8841
Fax
(787) 842-8841
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2003 PR Primary

Addresses

Primary practice location

Urb San Antonio 531
Carr Guayanilla Ste 1
Ponce, PR 00717-1791

Mailing address

PO Box 10694
Ponce, PR 00732-0694
Phone (787) 842-8841

Other names 1

  • Dr. Diosdada P Nigaglioni Professional name

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
I20150922002790 PR Order and Referring Only - DentistPractitioner - Dentist 8628385705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1679634620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10694",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320694",
            "telephone_number": "787-842-8841",
            "fax_number": "787-842-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SAN ANTONIO 531",
            "address_2": "CARR GUAYANILLA STE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171791",
            "telephone_number": "787-842-8841",
            "fax_number": "787-842-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGAGLIONI",
        "first_name": "DIOSDADA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIOSDADA",
            "last_name": "NIGAGLIONI",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.