Individual provider Active NPI

Raul Sanchez, DMD

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1942287594
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
510 Issued in PR
Practice address
180 Calle Los Mirtos
Hyde Park
San Juan, PR 00927-4235
Phone
(787) 765-0000
Fax
(787) 764-1815
NPI assigned
Dec 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 510 PR Primary

Addresses

Primary practice location

180 Calle Los Mirtos
Hyde Park
San Juan, PR 00927-4235

Mailing address

PO Box 363046
San Juan, PR 00936-3046
Phone (787) 765-0000

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
I20170216002542 PR Order and Referring Only - DentistPractitioner - Dentist 8729361779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
510PRMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942287594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363046",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363046",
            "telephone_number": "787-765-0000",
            "fax_number": "787-764-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CALLE LOS MIRTOS",
            "address_2": "HYDE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274235",
            "telephone_number": "787-765-0000",
            "fax_number": "787-764-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "RAUL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.