Andrea Nicole Alvalle Santiago, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3518 Issued in PR

Practice address

1238 Ave Munoz Rivera
Ponce, PR 00717-0639

Phone

(787) 840-2153

NPI assigned

Apr 20, 2023

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrea Alvalle Dentist LLC

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1255165221
  Medicare reassignment NPD Authorized official
• Smile Care JCF

  • Dentist
  • Ponce, PR
  • NPI 1407622327
  NPD
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD (past)
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1699462580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170639",
            "telephone_number": "787-840-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170639",
            "telephone_number": "787-840-2153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1714 Burrstone Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134131002",
            "country_code": "US",
            "telephone_number": "315-624-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVALLE SANTIAGO",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3518",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Juliane Almodovar, PHARMD
• Raquel Hernandez Almodovar
• Crystal Rose Almond
• Also OB-GYN PSC
• Pierre E Altieri, PHD
• Kevin J Alvarado Acevedo
• Sindia Odette Alvarado Caraballo
• Nicole Marie Alvarado Delgado, PSY D
• Gilberto J Alvarado Diaz, MD
• Hctor M. Alvarado Hoyos, M.D.

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.