Diana Bartolomei, D.M.D.

Individual provider Active NPI Pediatric Dentistry · San Juan, PR

NPI 1760465827 · NPPES record last updated Apr 12, 2015

Key facts

NPI
1760465827
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
1701 (PR)
Practice address
433 Cesar Gonzalez
San Juan, PR 00918
Phone
(787) 294-2949
Fax
(787) 765-6647
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1701PRMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1701 PR Yes

Addresses

Primary practice location

433 Cesar Gonzalez
San Juan, PR 00918

Mailing address

18 Calle Tintillo
Tintillo Gardens
Guaynabo, PR 00966
Phone (787) 398-1607

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 12, 2015.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428796800000",
    "number": "1760465827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE TINTILLO",
            "address_2": "TINTILLO GARDENS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-398-1607",
            "fax_number": "787-706-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CESAR GONZALEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-294-2949",
            "fax_number": "787-765-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLOMEI",
        "first_name": "DIANA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

All providers in San Juan, PR · Pediatric Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.