Individual provider Active NPI

Jorge Figueroa, D.M.D.

  • General Practice Dentistry
  • Toa Baja, PR
National Provider Identifier
1821176215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
991 Issued in PR
Practice address
K1 Calle 1
Valparaiso
Toa Baja, PR 00949-4004
Phone
(787) 869-1115
Fax
(787) 869-1115
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 991 PR Primary

Addresses

Primary practice location

K1 Calle 1
Valparaiso
Toa Baja, PR 00949-4004

Mailing address

K1 Calle 1
Valparaiso
Toa Baja, PR 00949-4004
Phone (787) 869-1115

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
I20160809002558 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577857861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
991PRMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821176215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "K1 CALLE 1",
            "address_2": "VALPARAISO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494004",
            "telephone_number": "787-869-1115",
            "fax_number": "787-869-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "K1 CALLE 1",
            "address_2": "VALPARAISO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494004",
            "telephone_number": "787-869-1115",
            "fax_number": "787-869-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

Verify at the official NPI Registry.