Individual provider Active NPI

Natalia Guevara, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, PR
National Provider Identifier
1871023580
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3239 Issued in PR
Practice address
1005 Ave General Ramey Ste 1
San Antonio, PR 00690-1109
Phone
(787) 509-6521
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3239 PR Primary

Addresses

Primary practice location

1005 Ave General Ramey Ste 1
San Antonio, PR 00690-1109

Mailing address

PO Box 784
San Antonio, PR 00690-0784
Phone (787) 509-6521

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
I20260421004367 PR Practitioner - Dentist 2668948159 Practice locations: San Antonio, PR

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Puerto Rico School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Ave General Ramey
San Antonio, PR 00690-1109
Phone (787) 510-0912

PO Box
Suite 784
San Antonio, PR 00690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1871023580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 784",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006900784",
            "telephone_number": "787-509-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 AVE GENERAL RAMEY STE 1",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "006901109",
            "telephone_number": "787-509-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "NATALIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "3239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, PR

Sources for this page

Verify at the official NPI Registry.