Edda Liz Bautista Perez, D.M.D
NPI 1043218183ActiveIndividual· Dentist, General Practice· Juncos, PR
Dentist, General Practice (D.M.D) in Juncos, Puerto Rico, licensed in PR and TX, with an NPI issued in July 2005. Part D covered 86 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1043218183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.M.D |
| Sole proprietor | No |
| NPI issued | Jul 12, 2005 |
| Last updated in NPPES | Jul 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2438 | PR |
| Dentist, General Practice | 1223G0001X | 34839 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Oral Surgery (PR) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 86 · 86 30-day fills |
|---|---|
| Patients | 53 |
| Total drug cost | $510.32 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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