Jose Bruno Perez Cardoso
Dentist, General Practice in Tijuana, BAJA CALIFORNIA. Organization (NPI-2).
NPI number1669300091
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1669300091
- Entity type
- Organization (NPI-2)
- Legal business name
- Jose Bruno Perez Cardoso
- Organization subpart
- No
- Enumeration date
- May 13, 2026
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223E0200X | Dentist, Endodontics | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Practice location
Torre CenturyTijuana, BAJA CALIFORNIA
Mexico
Mailing address
531 W San Ysidro Blvd Apt 25San Ysidro, CA 92173-2352
Authorized official
Jose Bruno Perez Cardoso
Dentist
6192729021
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