Elvis N Gracia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2659 Issued in PR

Practice address

B38 Calle Elliot Velez
Urb Atenas
Manati, PR 00674-4615

Phone

(787) 884-5015

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770651168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CALLE PALM BLVD",
            "address_2": "GRAND PALM",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929785",
            "telephone_number": "787-884-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B38 CALLE ELLIOT VELEZ",
            "address_2": "URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744615",
            "telephone_number": "787-884-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIA",
        "first_name": "ELVIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Socorro Gonzalez, NURSE PRACTICIONER
• Nilsa Gonzalez, ARNP
• Noel Antonio Gonzalez, PHARMD.
• Luis Javier Goveo Ortiz, MD
• Manuel Ramon Gracia-Ramis, M.D.
• Charlie Griffin, MD
• Grupo de Cardiologia Atenas
• Grupo de Cirugia Doctors Center, CSP
• Grupo Dental Metro Norte
• Grupo Gastr de Manati

• General Practice Dentistry in Manati, PR
• Providers in Manati, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.