Individual provider Active NPI

Alfredo Antonio Canino, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Arecibo, PR
National Provider Identifier
1992700264
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0581 Issued in PR
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600183OtherPRMMM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616000571 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0749571024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0581PRMDOral and Maxillofacial Surgery (Dentist)
581PRMDAudiologist

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

Verify at the official NPI Registry.