Active NPI
Alfredo Antonio Canino, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Arecibo, PR
National Provider Identifier
1992700264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0581
- Practice address
- 404 Ave de Diego
Arecibo, PR 00612-4358 - Phone
- (787) 878-2813
- Fax
- (787) 817-7534
- NPI assigned
- Jun 14, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0581 | PR | Primary |
Addresses
Primary practice location
404 Ave de Diego
Arecibo, PR 00612-4358
Mailing address
PO Box 140669
Arecibo, PR 00614-0669
Phone (787) 878-2813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600183 | Other | PR | MMM PROVIDER NO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616000571 | PR | Order and Referring Only - Oral Surgery | 0749571024 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0581 | PR | MD | Oral and Maxillofacial Surgery (Dentist) |
| 581 | PR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992700264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140669",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140669",
"telephone_number": "787-878-2813",
"fax_number": "787-817-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 AVE DE DIEGO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124358",
"telephone_number": "787-878-2813",
"fax_number": "787-817-7534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANINO",
"first_name": "ALFREDO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PR",
"license": "0581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM PROVIDER NO",
"identifier": "600183",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.