Boulevard Dental Center
NPI 1396015335ActiveOrganization· Dentist, General Practice· Toa Baja, PR
Dentist, General Practice in Toa Baja, Puerto Rico, registered in NPPES in January 2012. The authorized official on file is Lissette Morales, DMD, Dentist.
Overview
| NPI | 1396015335 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2012 |
| Last updated in NPPES | Jan 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2822 | PR |
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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