Individual provider Active NPI

Natalia A Castro

  • General Practice Dentistry
  • Coamo, PR
National Provider Identifier
1760122469
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3494 Issued in PR
Practice address
San Blas Dental
21 Calle Jose I Quinton
Coamo, PR 00769-2466
Phone
(787) 825-8585
NPI assigned
Mar 30, 2022
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3494 PR Primary
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

San Blas Dental
21 Calle Jose I Quinton
Coamo, PR 00769-2466

Mailing address

San Blas Dental
21 Calle Jose I Quinton
Coamo, PR 00769-2466
Phone (787) 825-8585

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Blas Dental LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

21 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 825-8585

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1760122469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN BLAS DENTAL",
            "address_2": "21 CALLE JOSE I QUINTON",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692466",
            "telephone_number": "787-825-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN BLAS DENTAL",
            "address_2": "21 CALLE JOSE I QUINTON",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692466",
            "telephone_number": "787-825-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "NATALIA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3494",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.