Active NPI
Raul Fernando Montilla, D.M.D.
- Dentist
- San Juan, PR
National Provider Identifier
1750577136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1734
- Practice address
- 20 Calle Washington
Apt.1-B
San Juan, PR 00907-1531 - Phone
- (787) 888-0200
- NPI assigned
- Sep 19, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1734 | PR | Primary |
Addresses
Primary practice location
20 Calle Washington
Apt.1-B
San Juan, PR 00907-1531
Mailing address
20 Calle Washington Apt 1B
San Juan, PR 00907-1535
Phone (787) 504-8821
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1734 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1750577136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CALLE WASHINGTON APT 1B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071535",
"telephone_number": "787-504-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CALLE WASHINGTON",
"address_2": "APT.1-B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071531",
"telephone_number": "787-888-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTILLA",
"first_name": "RAUL",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "1734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.