Federico Augusto Souffront, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1651 Issued in PR

Practice address

1511 Calle Loiza
Oficina 204
San Juan, PR 00911-1846

Phone

(787) 728-6980

NPI assigned

Aug 20, 2006

Sex

Male

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

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dentistas Asociados del Norte

  • General Practice Dentistry
  • Manati, PR
  • NPI 1376530840
  NPD (past)
• Grupo Dental Metro Norte

  • Dentist
  • Manati, PR
  • NPI 1336336791
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992810113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 CALLE LOIZA",
            "address_2": "OFICINA 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 CALLE LOIZA",
            "address_2": "OFICINA 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111846",
            "telephone_number": "787-728-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFFRONT",
        "first_name": "FEDERICO",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Guillermo Sotomayor, M.D.
• Lauramar Sotomayor, D.M.D
• Marietta Sotomayor
• Juan Carlos Sotomonte Ariza, M.D.
• Maileen Souchet, PH.D.
• South Central Anesthesia CSP
• Southwest Chiropractic LLC
• Spech
• Special Care Infusion Center, Inc.
• Special Care Pharmacy Services

• Dentist in San Juan, PR
• Providers in San Juan, PR by specialty
• Dentist 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.
• 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.