Individual provider Active NPI

Dennis Jose Alcover Garcia, DMD

  • General Practice Dentistry
  • Mayaguez, PR
National Provider Identifier
1811039431
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1614 Issued in PR
Practice address
52 Calle McKinley W
Mayaguez, PR 00680-3940
Phone
(787) 832-4080
Fax
(787) 832-4080
NPI assigned
Feb 12, 2007
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 1614 PR Primary

Addresses

Primary practice location

52 Calle McKinley W
Mayaguez, PR 00680-3940

Mailing address

PO Box 607
Mayaguez, PR 00681-0607
Phone (787) 832-4080

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
I20170130002419 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9739461633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1614PRMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1811039431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810607",
            "telephone_number": "787-832-4080",
            "fax_number": "787-832-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CALLE MCKINLEY W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803940",
            "telephone_number": "787-832-4080",
            "fax_number": "787-832-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCOVER GARCIA",
        "first_name": "DENNIS",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.