DR. CARLOS ANTONIO IZCOA (NPI# 1639206253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639206253 |
| Entity Type | Individual |
| Full Name | DR. CARLOS ANTONIO IZCOA |
| Credential | D.M.D. |
| Practice Address |
B9 Calle Santa Cruz Bayamon PR 00961-6902 |
| Mailing Address |
D9 Calle 1 Bayamon PR 00961-6908 |
| Practice Telephone | 7877981772 |
| Practice Fax Number | 7872885021 |
| Mailing Telephone | 7877981772 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2244 | PR | Dental Providers |
| Street Address |
B9 CALLE SANTA CRUZ |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184707408 | Madeleine M Lopez-jimenez | Optometrist | B9 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2006-10-23 |
| 1467603621 | Metro Optika LLC | Optometrist | B9 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154808228 | Victor Antonio Rivera Mendez | Dentist | 66 Calle Santa Cruz Suite 103, San Pablo, Bayamon, PR 00961 | 2018-07-23 |
| 1720291685 | Jose F. Perez Moll | Dentist | 191 Ave Betances, Hermanas Davila, Bayamon, PR 00959-5159 | 2007-05-08 |
| 1881722197 | Jaime Tomas Castro | Dentist | Urb. Santa Cruz, 1 St Street, D9, Bayamon, PR 00961 | 2007-02-28 |
| 1407919657 | Enrique Jose Rodriguez | Dentist | M-73 Santa Juanita Ave, Bayamon, PR 00956 | 2006-12-19 |
| 1124169248 | Dunia De La Caridad Rodriguez | Dentist | Santa Rosa Mall, Suite 3-b, 2do Nivel, Bayamon, PR 00959-6710 | 2007-02-09 |
| 1013956168 | Nelson Rodriguez Sr. | Dentist | 68 Calle Santa Cruz, Torre San Pablo Suite 702, Bayamon, PR 00961-7031 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585906 | Quality Dental Group | Dentist | 735 Ave Ponce De Leon Ste 713, San Juan, PR 00917-5030 | 2019-08-27 |
| 1003379751 | Ramos Prosthodontic Services L L C | Dentist | Edificio San Vicente Paul, Suite 306, San German, PR 00683 | 2019-04-10 |
| 1396219002 | Pamela Torres Hernadez Psc | Dentist | 1725 Calle Yangtze # Rp, San Juan, PR 00926-3152 | 2019-01-15 |
| 1780166942 | Alicia Maria Bofill Garcia | Dentist | P6 Calle Palomas, Guaynabo, PR 00969-3244 | 2018-09-05 |
| 1427494723 | Dental Esthetic Solutions | Dentist | Roosevelt Ave. Clinica Las Americas, Suite 307, San Juan, PR 00918 | 2013-05-14 |
| 1619265758 | Jean Paul Miranda Alos | Dentist | 1018 Ave Ashford Cond Condado Astor, Suite 201, San Juan, PR 00907 | 2011-07-11 |
| 1871896399 | Brenda L. Torres Rivera Dental Practice, Psc | Dentist | Calle Jupiter 30a Atlantic View, Carolina, PR 00979 | 2010-12-07 |
| 1942539697 | Oficina Bioestetica Dental, Corp | Dentist | Calle Lodi 601, Villa Capri, Rio Piedras, PR 00924 | 2009-12-09 |
| 1316181373 | Nelson Roura | Dentist | 464 Ave De Hostos, San Juan, PR 00918-3015 | 2009-04-21 |
| 1972709764 | Marvin Alameda | Dentist | 104 Calle Violeta, Santa Maria, San Juan, PR 00927-6212 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.