Boutique Dental
NPI 1235765983ActiveOrganization· Dentist, General Practice· Bayamon, PR
Dentist, General Practice in Bayamon, Puerto Rico, registered in NPPES in March 2020. The authorized official on file is Jessica Rivera Cruz, Secretary.
Overview
| NPI | 1235765983 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2020 |
| Last updated in NPPES | Mar 13, 2020 |
| Certified by provider | Mar 13, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Periodontics | 1223P0300X | — | — |
| Dentist, Prosthodontics | 1223P0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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