CLINICA DENTAL DR. EDWIN ROSA, CSP (NPI# 1477941946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477941946 |
| Entity Type | Organization |
| Organization Name | CLINICA DENTAL DR. EDWIN ROSA, CSP |
| Practice Address |
Carr 2 Km 29.3 Parcelas Carmen Vega Alta PR 00692 |
| Mailing Address |
Po Box 70344 San Juan PR 00936-8344 |
| Practice Telephone | 7873179168 |
| Mailing Telephone | 7879153015 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-01-04 |
| Authorized Official Name | DR. EDWIN A ROSA (OWNER) |
| Authorized Official Telephone | 7879153015 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
2537 | PR | Ambulatory Health Care Facilities |
| Street Address |
CARR 2 KM 29.3 PARCELAS CARMEN |
| City | VEGA ALTA |
| State | PR |
| Zip Code | 00692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528147493 | Edwin A Rosa | Dentist | Carr 2 Km 29.3, Parcelas Carmen, Vega Alta, PR 00692 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588561 | Evelyn Tellado | Physician Assistant | Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 | 2020-11-06 |
| 1457952699 | Optica Lm LLC | Durable Medical Equipment & Medical Supplies | Palmas De Cerro Gordo 144, Calle Real G-35, Vega Alta, PR 00692 | 2020-11-04 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1831707546 | Morovis Community Health Center Inc | Clinic/Center | Bo. Espinosa, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-07-20 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1629698196 | Wildalis Novoa-vidot | Student in an Organized Health Care Education/Training Program | Bo Santa Rosa Calle Las Violetas Int Finca#1, Vega Alta, PR 00692 | 2020-04-24 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1437797396 | Vega Alta X Ray | Radiology | Urb. Santa Rita, H48 Interior, Vega Alta, PR 00692 | 2019-12-11 |
| 1083251367 | Carmen Milagros Garcia Barreto | Pharmacist | Bo Espinosa Carr 2 Km 30 H 1, Vega Alta, PR 00692 | 2019-12-05 |
| 1255976676 | Carmen M. Navedo-rosado | Social Worker | Calle Higuero #46, Bo. Bajura Almirante, Vega Alta, PR 00692 | 2019-11-08 |
| Find all providers in zip 00692 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043843055 | Dr Diego Gallardo Torres-aguiar Psc | Clinic/Center | 36 Carr 2 Ste 302, Vega Alta, PR 00692-6092 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649607854 | Recinto De Ciencias Medicas | Clinic/Center | Escuela De Medicina Dental Rcm Piso 1 Ofic 128, Centro Medico De Puerto Rico, Bo. Monacillos, Rio Piedras, PR 00929-0134 | 2013-10-02 |
| 1184887796 | Centro Maxilofacial Del Norte Csp | Clinic/Center | Street 493, Del Norte Proffesional Center, Hatillo, PR 00659 | 2008-07-03 |
| 1306044748 | Clinica De Cirugia Oral Y Maxilofacial De Caparra Corp | Clinic/Center | 33 Calle Resolucion, Suite 800, San Juan, PR 00920-2706 | 2007-07-06 |
| 1679625909 | Cirugia Oral Y Maxilofacial Cla Csp | Clinic/Center | Suite 503 #400 Fd Ave Roosevelt, Clinica Las Americas, Hato Rey, PR 00918 | 2007-01-17 |
| 1417318536 | Cirugia Oral Y Maxilofacial El Senorial | Clinic/Center | 200 Ave Winston Churchill Ste 201, San Juan, PR 00926-6655 | 2016-03-17 |
| 1699016295 | Lma Cosmetic, Oral and Maxillofacial Surgery Services, Psc | Clinic/Center | Las Catalinas Mall, Caribbean Cinemas Suite 205, Caguas, PR 00725-5200 | 2013-03-06 |
| 1093954125 | Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp | Clinic/Center | 33 Calle Resolucion, Doral Bank Plaza Suite 800, San Juan, PR 00920-2706 | 2009-02-12 |
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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.