Individual provider Active NPI

Betzaida Frontera, D.M.D

  • General Practice Dentistry
  • Las Marias, PR
National Provider Identifier
1922005263
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1998 Issued in PR
Practice address
42 Paseo Adrian Acevedo
Las Marias, PR 00670-2113
Phone
(787) 827-2782
Fax
(787) 827-2782
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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 1998 PR Primary

Addresses

Primary practice location

42 Paseo Adrian Acevedo
Las Marias, PR 00670-2113

Mailing address

42 Paseo Adrian Acevedo
Las Marias, PR 00670-2113
Phone (787) 827-2782

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
I20160425001102 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608175732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1998PRMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1922005263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PASEO ADRIAN ACEVEDO",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006702113",
            "telephone_number": "787-827-2782",
            "fax_number": "787-827-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PASEO ADRIAN ACEVEDO",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006702113",
            "telephone_number": "787-827-2782",
            "fax_number": "787-827-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTERA",
        "first_name": "BETZAIDA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Marias, PR

Sources for this page

Verify at the official NPI Registry.