Individual provider Active NPI

Luis D Silva, DMD

  • Dentist
  • San Juan, PR
National Provider Identifier
1770572901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1162 Issued in PR
Practice address
321 Ave Barbosa
San Juan, PR 00917-3314
Phone
(787) 753-1532
Fax
(787) 760-1684
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1162 PR Primary

Addresses

Primary practice location

321 Ave Barbosa
San Juan, PR 00917-3314

Mailing address

321 Ave Barbosa
Hato Rey
San Juan, PR 00917-3314
Phone (787) 753-1532

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420001146 PR Practitioner - Dentist 7517224926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morovis Community Health Center, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Morovis Community Health Center, Inc. Current Accepting new patients
LJP LLC Dentist Past Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770572901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 AVE BARBOSA",
            "address_2": "HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173314",
            "telephone_number": "787-753-1532",
            "fax_number": "787-760-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 AVE BARBOSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173314",
            "telephone_number": "787-753-1532",
            "fax_number": "787-760-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "LUIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.