Ileana Machado, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1638 Issued in PR

Practice address

Alturas de Flamboyan
N60 Tnte Martinez Ave
Bayamon, PR 00959-8103

Phone

(787) 798-4800

Fax

(787) 780-4222

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972629731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB RIVERSIDE PARK",
            "address_2": "E6 CALLE 1",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009618594",
            "telephone_number": "787-798-4800",
            "fax_number": "787-780-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALTURAS DE FLAMBOYAN",
            "address_2": "N60 TNTE MARTINEZ AVE",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598103",
            "telephone_number": "787-798-4800",
            "fax_number": "787-780-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Lenscrafters P719)
• Luz E. Rodriguez Laboratorio Clinico Guaraguao
• Luz N Ramos Vargas
• Iris V Luzunaris, MSW
• Armando Jose Machado Feliciano Sr., MASAJISTA
• Maria Del Mar Machado, MD
• Selineth Machado, TECH
• Natalie Michelle Machargo Carlo
• Rosa B Machargo, RPH
• Melissa Machuca Gonzalez

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, 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 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.

Verify at the official NPI Registry.