SAN JUAN DENTAL CENTER LLC (NPI# 1083198576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083198576 |
Entity Type | Organization |
Organization Name | SAN JUAN DENTAL CENTER LLC |
Practice Address |
456 Calle Cesar Gonzalez San Juan PR 00918-2628 |
Practice Telephone | 7876450089 |
Mailing Telephone | 7876450089 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |
Authorized Official Name | ROSA MARIA RODRIGUEZ (DOCTOR) |
Authorized Official Telephone | 7876450089 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | 582837989 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
456 Calle Cesar Gonzalez, San Juan, PR 009182628 | 7876450089 |
Street Address |
456 CALLE CESAR GONZALEZ |
City | SAN JUAN |
State | PR |
Zip Code | 00918-2628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576873 | Stryker Puerto Rico Sales LLC | Durable Medical Equipment & Medical Supplies | Calle Federico Costa 205, Montemar Plaza Suite 103, San Juan, PR 00918 | 2020-10-20 |
1255942074 | Jose Armando Corzo Gomez | Student in an Organized Health Care Education/Training Program | 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 | 2020-08-14 |
1437768843 | Dra Yanira Arce-ayala | Internal Medicine | 508 Ave Eugenio Maria De Hostos#101, San Juan, PR 00918 | 2020-07-31 |
1922621010 | Xiomara Resto | Student in an Organized Health Care Education/Training Program | #550 Calle Sergio Cuevas Bustamante Ave Domenech, San Juan, PR 00918 | 2020-05-22 |
1861015299 | Carlos Vargas | Student in an Organized Health Care Education/Training Program | 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918 | 2020-05-20 |
1831724665 | Flor De Liz Santiago | Social Worker | Calle Jose Oliver #205, Apto. Th109, San Juan, PR 00918 | 2020-03-12 |
1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
1356973697 | Guillermo Antonio Puebla Robles | Student in an Organized Health Care Education/Training Program | 155 Art. Hostos Golden Court II, Apt 227, San Juan, PR 00918 | 2020-02-05 |
1790316842 | Marieli Figueroa-morales | Pharmacist | Ave Ponce De Leon 715 Pda 37 1/2, Hato Rey, PR 00918 | 2020-01-28 |
1518507862 | Fabiola Ramos | Student in an Organized Health Care Education/Training Program | 600 Ave Jesus T Pinero Apt 1702, San Juan, PR 00918 | 2020-01-14 |
Find all providers in zip 00918 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104364165 | Edinburg Dental, Pllc | Dentist | 423 W Fm 495, San Juan, TX 78589-3717 | 2017-02-09 |
1508122094 | Little Manhattan Pediatric Dentistry,pllc | Dentist | 423 W. Highway 495, San Juan, TX 78589-9998 | 2012-04-09 |
1295852598 | Escuela De Odontologia | Dentist | Ave Barbosa 608, Clinica Dental Comunitaria Cantera Suite 4, San Juan, PR 00919-1274 | 2007-03-23 |
1467594721 | Alexis R. Pagan | Dentist | 253 Calle San Jorge Ste I-a, San Jorge II Medical Building, San Juan, PR 00912-3307 | 2007-02-13 |
1003953134 | Rosa M Rodriguez | Dentist | 377 Ave Domenech, San Juan, PR 00918-3721 | 2007-01-30 |
1225181266 | University of Puerto Rico Msc | Dentist | Pediatric Dentistry Clinics, Centro Medico, San Juan, PR 00935-0001 | 2007-01-22 |
1780736520 | Anabel Noriega | Dentist | 525 F D Roosevelt Ave, Suite 704 Plaza Las Americas Tower, San Juan, PR 00918 | 2007-01-18 |
1457415275 | Adolfo Correa-luna | Dentist | 1165 Ave Jesus T Pinero, San Juan, PR 00920-5604 | 2006-12-19 |
1083625776 | Sandra Patricia Cerda | Dentist | 281 Ave Jesus T Pinero, Plaza El Amal, Suite 211, San Juan, PR 00927-3901 | 2006-08-10 |
1104876515 | Dagnes Y Calderon | Dentist | G15 Calle 8, El Mirador, San Juan, PR 00926-7576 | 2006-05-10 |
Find all providers in SAN JUAN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.