Individual provider Active NPI

Orlando Ramirez-de-Arellano Jr., DENTIST

  • General Practice Dentistry
  • San German, PR
National Provider Identifier
1831291004
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2038 Issued in PR
Practice address
114 Calle Dr Veve Ste 102
San German, PR 00683-4163
Phone
(787) 264-2080
Fax
(787) 264-2080
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 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 2038 PR Primary

Addresses

Primary practice location

114 Calle Dr Veve Ste 102
San German, PR 00683-4163

Mailing address

P.O. Box 1155
San German, PR 00683
UM
Phone (787) 309-7887

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
I20150818004036 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799090908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2038PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1831291004",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P.O. BOX 1155",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-309-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CALLE DR VEVE STE 102",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834163",
            "telephone_number": "787-264-2080",
            "fax_number": "787-264-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-DE-ARELLANO",
        "first_name": "ORLANDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.