Individual provider Active NPI

Veronica Pagan-Santini, DMD

  • General Practice Dentistry
  • Humacao, PR
National Provider Identifier
1932468584
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2066 Issued in PR
Practice address
355 Calle Font Martelo
Humacao, PR 00791-3249
Phone
(787) 852-0768
NPI assigned
May 15, 2012
Last updated
May 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 2066 PR Primary

Addresses

Primary practice location

355 Calle Font Martelo
Humacao, PR 00791-3249

Mailing address

B5 Calle Dali
Quintas de San Luis
Caguas, PR 00725-7602
Phone (787) 360-9313

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
I20161105000107 PR Order and Referring Only - DentistPractitioner - Dentist 9032497482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2066PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1932468584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B5 CALLE DALI",
            "address_2": "QUINTAS DE SAN LUIS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257602",
            "telephone_number": "787-360-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN-SANTINI",
        "first_name": "VERONICA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.