Active NPI
Alodia Teresita Marcial, D.M.D.
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1851361141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 920
- Practice address
- Ave. Roosevelt 525
Suite 810, la Torre Plaza Las Americas
San Juan, PR 00918 - Phone
- (787) 751-1053
- Fax
- (787) 767-5640
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 920 | PR | Primary |
Addresses
Primary practice location
Ave. Roosevelt 525
Suite 810, la Torre Plaza Las Americas
San Juan, PR 00918
Mailing address
Ave. Roosevelt 525
Suite 810, la Torre Plaza Las Americas
San Juan, PR 00918
Phone (787) 751-1053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 920 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1851361141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. ROOSEVELT 525",
"address_2": "SUITE 810, LA TORRE PLAZA LAS AMERICAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-751-1053",
"fax_number": "787-767-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. ROOSEVELT 525",
"address_2": "SUITE 810, LA TORRE PLAZA LAS AMERICAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-751-1053",
"fax_number": "787-767-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCIAL",
"first_name": "ALODIA",
"middle_name": "TERESITA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.