Active NPI
Juan Jose Ledoux, D.D.S.
- General Practice Dentistry
- Carolina, PR
National Provider Identifier
1740246750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2256
- Practice address
- 208-18 Calle 510
Urb Villa Carolina
Carolina, PR 00985-3027 - Phone
- (787) 752-9835
- Fax
- (787) 752-9835
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2256 | PR | Primary |
Addresses
Primary practice location
208-18 Calle 510
Urb Villa Carolina
Carolina, PR 00985-3027
Mailing address
Cond Tropicana
Apt 1101-B
Carolina, PR 00979
Phone (787) 752-9835
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204001770 | PR | Order and Referring Only - Dentist | 9234669409 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2256 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740246750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND TROPICANA",
"address_2": "APT 1101-B",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-752-9835",
"fax_number": "787-752-9835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208-18 CALLE 510",
"address_2": "URB VILLA CAROLINA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009853027",
"telephone_number": "787-752-9835",
"fax_number": "787-752-9835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDOUX",
"first_name": "JUAN",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.