Roberto Emilio Baco Viamonte, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1900 Issued in PR

Practice address

1249 Paseo Las Monjitas
Ponce, PR 00730-3901

Phone

(787) 841-5378

Fax

(787) 842-9174

NPI assigned

Jun 14, 2005

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1730184128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 PASEO LAS MONJITAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303901",
            "telephone_number": "787-841-5378",
            "fax_number": "787-842-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 PASEO LAS MONJITAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303901",
            "telephone_number": "787-841-5378",
            "fax_number": "787-842-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACO VIAMONTE",
        "first_name": "ROBERTO",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B G Medical Services, CSP
• Jashira Evette Babilonia Banuchi
• Keisha Bachour Ramirez
• German Jose Baco Padilla
• Juliana De Los Angeles Baco Padilla
• Antonio Badillo
• Dayra Nailyn Badillo
• William Badillo
• Lorraine Baerga Amarat, MS
• Anari Baez Antunez, MD

• 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 Nov 16, 2016; 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.