Active NPI
Alicia Maria Bofill Garcia, DMD
- Prosthodontics
- Guaynabo, PR
National Provider Identifier
1780166942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 3293
- Practice address
- P6 Calle Palomas
Guaynabo, PR 00969-3244 - Phone
- (787) 241-5554
- NPI assigned
- Sep 5, 2018
- Last updated
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 3293 | PR | Primary |
Addresses
Primary practice location
P6 Calle Palomas
Guaynabo, PR 00969-3244
Mailing address
P6 Calle Palomas
Guaynabo, PR 00969-3244
Phone (787) 241-5554
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3293 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1780166942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P6 CALLE PALOMAS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693244",
"telephone_number": "787-241-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "P6 CALLE PALOMAS",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009693244",
"telephone_number": "787-241-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOFILL GARCIA",
"first_name": "ALICIA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PR",
"license": "3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.