Eric D. Frontera Roura, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1091 Issued in PR

Practice address

7 Calle Mario Braschi
Coamo, PR 00769-2501

Phone

(787) 825-1164

Fax

(787) 825-3647

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1992789333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CALLE MARIO BRASCHI",
            "address_2": "P.O.BOX 89",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692501",
            "telephone_number": "787-825-1164",
            "fax_number": "787-825-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE MARIO BRASCHI",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692501",
            "telephone_number": "787-825-1164",
            "fax_number": "787-825-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTERA ROURA",
        "first_name": "ERIC",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliani Flores I, NURSING
• Marlyn Anette Flores, LND
• Luis A Franco, M.D.
• Daniel David Fraticelli I, PSYCHOLOGIST
• Sofia Isabel Frau Rivera
• Ivonne Garcia Soto, M.S.
• Nilda Ana Garland, BS MT (ASCP)
• Margie Gierbolini-Flores, MD
• Adolfo Luis Gierbolini, D.M.D.
• Jaime Rafael Gierbolini, DMD

• General Practice Dentistry in Coamo, PR
• Providers in Coamo, 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 Oct 26, 2016; 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.

Verify at the official NPI Registry.