Anaida Coronado, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2417 Issued in PR

Practice address

Calle Hollywood Dr. 7
Urb. Hollywood Estates
San Juan, PR 00926

Phone

(787) 789-4015

Fax

(787) 789-4015

NPI assigned

Sep 28, 2006

Last updated

Mar 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anaida Coronado Gratacos Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1912098302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE HOLLYWOOD DRIVE # 7",
            "address_2": "URB. HOLLYWOOD ESTATES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-789-4015",
            "fax_number": "787-789-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HOLLYWOOD DR. 7",
            "address_2": "URB. HOLLYWOOD ESTATES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-789-4015",
            "fax_number": "787-789-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "ANAIDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAIDA",
            "last_name": "GRATACOS",
            "middle_name": "CORONADO",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria L Cordova
• Emely Coriano Ortiz
• Sherly Coriano
• Corlink Corporation
• Javier E. Cornier Blanco, DC
• Coronary & Peripheral Interventional Center, P.S.C
• Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe
• Corporacion Espanola de Servicios Clinicos
• Corporacion Fondo Seguro del Estado
• Corporacion la Fondita de Jesus

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.