Marisel Casasnovas, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

1982 Issued in PR

Practice address

300 Ave. Las Cumbres
Las Vistas Shopping Village, Suite 40
San Juan, PR 00926

Phone

(787) 680-7385

Fax

(787) 680-7386

NPI assigned

Oct 10, 2006

Sex

Female

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1992893515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 CALLE AMARILLO",
            "address_2": "SUITE 207-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263072",
            "telephone_number": "787-281-0614",
            "fax_number": "787-281-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE. LAS CUMBRES",
            "address_2": "LAS VISTAS SHOPPING VILLAGE, SUITE 40",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-680-7385",
            "fax_number": "787-680-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASASNOVAS",
        "first_name": "MARISEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahe Gelsys Casanova, PH.D
• Roberto Casanova
• Roberto L Casanova, MD
• Rose J Casanova, M.D.
• Camille Nanette Casasnovas, MD
• Nicolas C Casellas Castillo, MD
• Beatriz Casellas, PSYD
• Nicolas Javier Casellas, MD
• Casiano Consulting Services
• Vanessa Virginia Casillas Burgos, SLT

• All providers in San Juan, PR
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.