Ramon Matanzo Vicens, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1301 Issued in PR

Practice address

25 Celis St.
Naguabo, PR 00718-0000

Phone

(787) 874-2058

Fax

(787) 874-7568

NPI assigned

Aug 7, 2006

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Consultorio Y Laboratorio Dental Barbosa

  • Dentist
  • Catano, PR
  • NPI 1538466826
  NPD (past)
• Jyf Dental Clinic Inc

  dba JYF Dental Clinic

  • Dental Clinic/Center
  • Catano, PR
  • NPI 1326876608
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1962411819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180745",
            "telephone_number": "787-874-2058",
            "fax_number": "787-874-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CELIS ST.",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180000",
            "telephone_number": "787-874-2058",
            "fax_number": "787-874-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATANZO VICENS",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lopez, PHL
• Richard Malave, R.PH.
• Suehei Maldonado
• Yanira Marcano Benitez, MD
• Carmen Lourdes Marcano, R.PH.
• Limarie Matos Ramos, PA
• Tomas Maunez IV, M.ED. LPC, RN-BSN
• Mayra's Pharmacy PSC
• MB Clinical Laboratories Corp. (Laboratorio Clinico Villa Ana Naguabo)
• Grace D Medestomas, M.D.

• General Practice Dentistry in Naguabo, PR
• Providers in Naguabo, 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 Feb 17, 2016; 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.