Individual provider Active NPI

Janice Cintron Perez, DMD

  • General Practice Dentistry
  • Humacao, PR
National Provider Identifier
1861803389
Registry record updated Sep 16, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3172 Issued in PR
Practice address
A6 Carr 924
Humacao, PR 00791-3949
Phone
(787) 850-0725
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 3172 PR Primary

Addresses

Primary practice location

A6 Carr 924
Humacao, PR 00791-3949

Mailing address

10 Calle Almacigos
Caguas, PR 00727-3118
Phone (787) 850-0725

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
I20160502001094 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113226804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3172PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1861803389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE ALMACIGOS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273118",
            "telephone_number": "787-850-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A6 CARR 924",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913949",
            "telephone_number": "787-850-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINTRON PEREZ",
        "first_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.