Active NPI
Nilma Z. Feliciano-Gonzalez, DMD
- Pediatric Dentistry
- Bayamon, PR
National Provider Identifier
1962543652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 753
- Practice address
- Aa10 Ave Santa Juanita
Urbanizacion Santa Juanita
Bayamon, PR 00956-4644 - Phone
- (787) 787-5595
- Fax
- (787) 779-0663
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 753 | PR | Primary |
Addresses
Primary practice location
Aa10 Ave Santa Juanita
Urbanizacion Santa Juanita
Bayamon, PR 00956-4644
Mailing address
Aa10 Ave Santa Juanita
Urbanizacion Santa Juanita
Bayamon, PR 00956-4644
Phone (787) 787-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8727 | Other | PR | SOCIAL SECURITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric & General Dental Services Corp. | Past | Accepting new patients | |
| Pediatric Dental Services PSC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Bayamon, PR
- NPI 1982917597
-
- Dental Clinic/Center
- Bayamon, PR
- NPI 1598188963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962543652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AA10 AVE SANTA JUANITA",
"address_2": "URBANIZACION SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564644",
"telephone_number": "787-787-5595",
"fax_number": "787-779-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AA10 AVE SANTA JUANITA",
"address_2": "URBANIZACION SANTA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564644",
"telephone_number": "787-787-5595",
"fax_number": "787-779-0663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO-GONZALEZ",
"first_name": "NILMA",
"middle_name": "Z.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "753",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY",
"identifier": "8727",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.