Individual provider Active NPI

Rosa Elena Canto

  • Periodontics
  • Ponce, PR
National Provider Identifier
1861403966
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2612 Issued in PR
Practice address
2363 Ave Las Americas
Ponce, PR 00717-0776
Phone
(787) 284-0000
Fax
(787) 841-0943
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2612 PR Primary

Addresses

Primary practice location

2363 Ave Las Americas
Ponce, PR 00717-0776

Mailing address

RR 36 Box 1363
San Juan, PR 00926-9704
Phone (787) 761-0892

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
2612PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1861403966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 36 BOX 1363",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269704",
            "telephone_number": "787-761-0892",
            "fax_number": "787-760-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 AVE LAS AMERICAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170776",
            "telephone_number": "787-284-0000",
            "fax_number": "787-841-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTO",
        "first_name": "ROSA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.