Active NPI
Mildred Tolentino
- Driver
- Rio Grande, PR
National Provider Identifier
1720525389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 4013610
- Practice address
- 300 Avenida Casiano Cepeda Esquina Brazil
Rio Grande, PR 00745-2325 - Phone
- (787) 674-5616
- NPI assigned
- Jan 20, 2017
- Last updated
- Jan 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 4013610 | PR | Primary |
Addresses
Primary practice location
300 Avenida Casiano Cepeda Esquina Brazil
Rio Grande, PR 00745-2325
Mailing address
300 Ave Casiano Cepeda
Bo Las Dolores
Rio Grande, PR 00745-2325
Phone (787) 674-5616
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 |
|---|---|---|---|
| 4013610 | PR | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1720525389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 AVE CASIANO CEPEDA",
"address_2": "BO LAS DOLORES",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452325",
"telephone_number": "787-674-5616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 AVENIDA CASIANO CEPEDA ESQUINA BRAZIL",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452325",
"telephone_number": "787-674-5616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "MILDRED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "PR",
"license": "4013610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.