C L A DENTAL GROUP (NPI# 1346362928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346362928 |
| Entity Type | Organization |
| Organization Name | C L A DENTAL GROUP |
| Other Organization Name | ADVANCED DENTAL CENTER |
| Practice Address |
735 Ave Ponce De Leon Ste 504 San Juan PR 00917-5026 |
| Practice Telephone | 7877535055 |
| Mailing Telephone | 7877535055 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CARLOS H. MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 7877535055 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223E0200X |
Dentist Specialization: Endodontics |
1318 | PR | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
1586 | PR | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
2772 | PR | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
2716 | PR | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
2101 | PR | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
1804 | PR | Dental Providers |
| X | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2239 | PR | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
0626 | PR | Dental Providers |
| X | 1223P0300X |
Dentist Specialization: Periodontics |
2444 | PR | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
1787 | PR | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0266 | PR | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2454 | PR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Advanced Dental Center | Doing Business As Name - Organization |
| Street Address |
735 AVE PONCE DE LEON STE 504 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205958857 | Carlos H. Martinez | Dentist | 735 Ave Ponce De Leon Ste 504, San Juan, PR 00917-5026 | 2007-04-04 |
| 1801918313 | Javier J. Llompart | Dentist | 735 Ave Ponce De Leon Ste 504, San Juan, PR 00917-5026 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066120 | Rootcanals To Go Psc | Dentist | Villa Capri, 585 Calle Lodi, San Juan, PR 00924 | 2020-02-28 |
| 1033563150 | Mairym Y Delgado Roman | Dentist | 400 Ave F D Roosevelt Suite 506, San Juan, PR 00918 | 2016-04-14 |
| 1356707376 | Alendo Psc | Dentist | 147 Crisantemo, Urbanizacion San Francisco, San Juan, PR 00927 | 2016-01-06 |
| 1417322249 | Alexandra Teresa Garraton | Dentist | 52 Ave Munoz Rivera, Condominio Aquablue Apt 2705, San Juan, PR 00918 | 2015-12-04 |
| 1891035390 | Ashford Dental | Dentist | 1018 Ave Ashford, Suite 201, San Juan, PR 00907-1100 | 2013-02-20 |
| 1487907176 | Victor Luikham | Dentist | 1618 N Veterans Blvd, San Juan, TX 78589-3216 | 2012-10-18 |
| 1679660609 | Stephen J Frame | Dentist | 440 Fd Roosevelt Ave., Off 506, San Juan, PR 00918 | 2006-10-10 |
| 1881702215 | Carlos Enrique Cabre | Dentist | 1767 Ave Jesus T Pinero, San Juan, PR 00920-5408 | 2006-08-27 |
| 1114923653 | Clara E De Jesus | Dentist | 570 Calle Napoles, Ste 203, San Juan, PR 00924-4605 | 2005-06-21 |
| 1720460058 | Marilisa Mas Rodriguez | Dentist | Ave Ponce De Leon, La Ciudadela Apt # 5103, San Juan, PR 00907-3907 | 2015-06-23 |
| Find all providers in SAN JUAN | ||||
Please comment or provide details below to improve the information on C L A DENTAL GROUP.
| 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.