Individual provider Active NPI

Miriam Amil, DMD

  • Dentist
  • Caguas, PR
National Provider Identifier
1689714933
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1491 Issued in PR
Practice address
2 Calle Troche
Caguas, PR 00725-2810
Phone
(787) 286-2600
Fax
(787) 286-2600
NPI assigned
Feb 7, 2007
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1491 PR Primary

Addresses

Primary practice location

2 Calle Troche
Caguas, PR 00725-2810

Mailing address

PO Box 1232
Juncos, PR 00777-1232
Phone (787) 286-2600

Other identifiers 1

IdentifierTypeStateIssuer
1491OtherSTATE LICENSE

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
I20160107001268 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719289776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1491PRMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1689714933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007771232",
            "telephone_number": "787-286-2600",
            "fax_number": "787-286-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE TROCHE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252810",
            "telephone_number": "787-286-2600",
            "fax_number": "787-286-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIL",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1491",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.