Doris R Maury, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2247 Issued in PR

Practice address

502 Calle Luis Muniz Souffront
Villa Granada
San Juan, PR 00923-2419

Phone

(787) 282-7492

Fax

(787) 282-0711

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1801994371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 CALLE W BOSCH APT 1209",
            "address_2": "TERRASAS DE SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244669",
            "telephone_number": "787-282-7492",
            "fax_number": "787-282-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CALLE LUIS MUNIZ SOUFFRONT",
            "address_2": "VILLA GRANADA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009232419",
            "telephone_number": "787-282-7492",
            "fax_number": "787-282-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURY",
        "first_name": "DORIS",
        "middle_name": "R",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE P.R.",
            "identifier": "2247",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio J Mattei Pacheco
• Eduardo Mattei, MD
• Elba Mattei, OTR
• Herbert F Mattei, DMD
• Jorge E Mattei, MD
• Maximal Health PR, PSC
• Maxmath Tutoring Online Puerto Rico Inc
• Maymi Medical Distributor Inc
• Ariana Marie Maymi Torres
• Raul Mayo-Santana, PH.D

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, 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 13, 2016; 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.