Individual provider Active NPI

Alodia Teresita Marcial, D.M.D.

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1851361141
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
920 Issued in PR
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

Updated by the provider on Dec 1, 2008

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 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

LicenseStateTypeSpecialty
920PRMDSpeech-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.

Verify at the official NPI Registry.