Dr. Liana I Boada, DMD
Dentist in San Juan, PR. Individual provider (NPI-1).
NPI number1295872406
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1295872406
- Entity type
- Individual (NPI-1)
- Name
- Dr. Liana I Boada
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2007
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1045 | PR | Yes |
Practice location
239 Ave Arterial HostosSuite 1103
San Juan, PR 00918-1477
Phone 787-754-7747 · Fax 787-754-7747
Mailing address
239 Ave Arterial HostosSuite 1103
San Juan, PR 00918-1477
Phone 787-754-7747 · Fax 787-754-7747
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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