Magna Isabelle Wick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3214 Issued in PR

Practice address

190 Carr 1
Suite 12 Centro Comercial Bairoa
Caguas, PR 00725-1591

Phone

(787) 746-6660

Fax

(787) 743-5255

NPI assigned

Nov 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

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

• Bairoa Dental Care

  • Dental Clinic/Center
  • San Juan, PR
  • NPI 1710166186
  NPD (past)

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1720452600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE ALCALA",
            "address_2": "COLLEGE PARK APT. 1702",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CARR 1",
            "address_2": "SUITE 12 CENTRO COMERCIAL BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251591",
            "telephone_number": "787-746-6660",
            "fax_number": "787-743-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICK",
        "first_name": "MAGNA",
        "middle_name": "ISABELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart PR Inc.
• Emanuel Warrington-Colon, M.D.
• Erika T Watts Oquendo, MD
• WCM Visual Care PSC
• Wellness by Jenny Management LLC
• Grace M Wiley, O.D.
• Wilmayri Pagan Lopez LLC
• Women'S Health Institute, PSC
• Wonder Bilingual Therapy
• WS Optica Centro CSP

• General Practice Dentistry in Caguas, PR
• Providers in Caguas, 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 Nov 16, 2015; 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.