Individual provider Active NPI

Myrna Judith Ceide, DDS

  • Dentist
  • Cabo Rojo, PR
National Provider Identifier
1861413031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2631 Issued in PR
Practice address
85 Calle Carbonell
Cabo Rojo, PR 00623-3443
Phone
(787) 254-6107
Fax
(787) 254-6107
NPI assigned
Jul 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Dentist 122300000X 2631 PR Primary

Addresses

Primary practice location

85 Calle Carbonell
Cabo Rojo, PR 00623-3443

Mailing address

PO Box 557
Anasco, PR 00610-0557
Phone (787) 464-6500

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
I20150715002250 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254644560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Dental Cma General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861413031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100557",
            "telephone_number": "787-464-6500",
            "fax_number": "787-254-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CALLE CARBONELL",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233443",
            "telephone_number": "787-254-6107",
            "fax_number": "787-254-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEIDE",
        "first_name": "MYRNA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.