Individual provider Active NPI

Enrique J Arana Sr., D.D.S

  • General Practice Dentistry
  • Caguas, PR
National Provider Identifier
1801926423
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2020 Issued in PR
Practice address
Carretera 172 Canaboncito
KM 6.9 Local 3
Caguas, PR 00725
Phone
(787) 747-6664
Fax
(787) 747-6664
NPI assigned
Mar 6, 2007
Last updated
Mar 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2020 PR Primary

Addresses

Primary practice location

Carretera 172 Canaboncito
KM 6.9 Local 3
Caguas, PR 00725

Mailing address

Urb. Sagradocorazon
Santa Eduvigis 1617
San Juan, PR 00926
Phone (787) 747-6664

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
I20240116001614 PR Order and Referring Only - DentistPractitioner - Dentist 0840581161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1801926423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SAGRADOCORAZON",
            "address_2": "SANTA EDUVIGIS 1617",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-747-6664",
            "fax_number": "787-747-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 172 CANABONCITO",
            "address_2": "KM 6.9 LOCAL 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-747-6664",
            "fax_number": "787-747-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARANA",
        "first_name": "ENRIQUE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.