Integrated Dental Services LLC
NPI 1790481935ActiveOrganization· Dentist, General Practice· Ponce, PR
Dentist, General Practice in Ponce, Puerto Rico, registered in NPPES in January 2023. The authorized official on file is Juan Carlos Marrero Gratacos, DMD, President.
Overview
| NPI | 1790481935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2023 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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