Active NPI
Cheryl Paulo, D.M.D
- Pediatric Dentistry
- Cayey, PR
National Provider Identifier
1720394471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2855
- Practice address
- 85 Terra del Monte
Cayey, PR 00736 - Phone
- (787) 242-5942
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2855 | PR | |
| Pediatric Dentistry | 1223P0221X | 2855 | PR | Primary |
Addresses
Primary practice location
85 Terra del Monte
Cayey, PR 00736
Mailing address
85 Terra del Monte
Cayey, PR 00736
Phone (787) 242-5942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2855 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2855 | PR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1720394471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 TERRA DEL MONTE",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-242-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 TERRA DEL MONTE",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-242-5942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULO",
"first_name": "CHERYL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2855",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "2855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2855",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.