Jorge L Cabrera Rosario, DMD
Individual provider Active NPI Dentist · Comerio, PR
NPI 1821079641 · NPPES record last updated Apr 24, 2013
Key facts
- NPI
- 1821079641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2253 (PR)
- Practice address
- Carr 779 KM 6.5 Bo Paalmas
Comerio, PR 00782 - Phone
- (787) 875-0448
- Fax
- (787) 875-1808
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150810001699 | PR | Order and Referring Only - Oral Surgery |
4183939879 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2253 | PR | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2253 | PR | Yes |
Addresses
Primary practice location
Carr 779 KM 6.5 Bo Paalmas
Comerio, PR 00782
Mailing address
PMB 92 HC 71 Box 3766
Naranzito, PR 00719
Phone (787) 875-0448
Other providers in Comerio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.