SAN JUAN DENTAL CENTER LLC


Address: 456 Calle Cesar Gonzalez, San Juan, PR 00918-2628
Phone: 7876450089

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
PR 582837989 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
456 Calle Cesar Gonzalez, San Juan, PR 009182628 7876450089

Office Location

Street Address 456 CALLE CESAR GONZALEZ
City SAN JUAN
State PR
Zip Code 00918-2628

Providers in the same zip code

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
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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 Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City SAN JUAN
Zip Code 00918

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Dataset Information

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.

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