Individual provider Active NPI

Marvin Alameda

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1972709764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
2650 Issued in PR
Practice address
104 Calle Violeta
Santa Maria
San Juan, PR 00927-6212
Phone
(787) 759-7911
NPI assigned
Jun 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 2650 PR Primary

Addresses

Primary practice location

104 Calle Violeta
Santa Maria
San Juan, PR 00927-6212

Mailing address

104 Calle Violeta
Santa Maria
San Juan, PR 00927-6212
Phone (787) 759-7911

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
I20160311001016 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6901102235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistas Asociados de Puerto Rico Prosthodontics Current Accepting new patients
Tecnodiabetes L.L.C. CurrentSince Sep 18, 2024 Accepting new patients

Locations

215 Calle de la Candelaria
Mayaguez, PR 00682
Phone (787) 234-3520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972709764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CALLE VIOLETA",
            "address_2": "SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276212",
            "telephone_number": "787-759-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CALLE VIOLETA",
            "address_2": "SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276212",
            "telephone_number": "787-759-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMEDA",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.