Individual provider Active NPI

Jaime Batlle, D.M.D

  • Dentist
  • Guaynabo, PR
National Provider Identifier
1780700666
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2350 Issued in PR
Practice address
Caribbean Cinemas Plaza Guaynabo
Suite 200 CD Esquina E
Guaynabo, PR 00969-3481
Phone
(787) 789-5314
Fax
(787) 789-5314
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2350 PR Primary

Addresses

Primary practice location

Caribbean Cinemas Plaza Guaynabo
Suite 200 CD Esquina E
Guaynabo, PR 00969-3481

Mailing address

HC 1 Box 29030
PMB 398
Caguas, PR 00725-8900
Phone (787) 789-5314

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
I20160518001566 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507155322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2350PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1780700666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 29030",
            "address_2": "PMB 398",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007258900",
            "telephone_number": "787-789-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIBBEAN CINEMAS PLAZA GUAYNABO",
            "address_2": "SUITE 200 CD ESQUINA E",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693481",
            "telephone_number": "787-789-5314",
            "fax_number": "787-789-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATLLE",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.