NPIMap

Organization Active NPI

Amanecer Mutuo, PSC

  • Prosthodontics
  • Carolina, PR
National Provider Identifier
1801115605
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2751 Issued in PR
Legal business name
AMANECER MUTUO, PSC
Practice address
5725 Blvd. Media Luna, Suite # 5
Galerias de Escorial Shopping Center
Carolina, PR 00987
Phone
(787) 453-0563
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Jose A Lopez-Calero, DMDNPI 1215089842
Title
President
Phone
(787) 453-0563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 2751 PR Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 16005 PR

Addresses

Primary practice location

5725 Blvd. Media Luna, Suite # 5
Galerias de Escorial Shopping Center
Carolina, PR 00987

Mailing address

PO Box 1893
Carolina, PR 00984-1893
Phone (787) 453-0563

Other identifiers 1

IdentifierTypeStateIssuer
BX187AOtherPRMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

5725 Blvd Media Luna
Ste 5
Carolina, PR 00987
Phone (787) 453-0563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1801115605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1893",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841893",
            "telephone_number": "787-453-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 BLVD. MEDIA LUNA, SUITE # 5",
            "address_2": "GALERIAS DE ESCORIAL SHOPPING CENTER",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-453-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER MUTUO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-CALERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-453-0563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2751",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BX187A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.