LRC ESTHETIC DENTAL CARE


Address: 576 Calle Cesar Gonzalez Ste 301, San Juan, PR 00918-3757
Phone: 7877730123

LRC ESTHETIC DENTAL CARE (NPI# 1538715404) 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) 1538715404
Entity Type Organization
Organization Name LRC ESTHETIC DENTAL CARE
Practice Address 576 Calle Cesar Gonzalez Ste 301
San Juan
PR 00918-3757
Mailing Address Po Box 6063
Caguas
PR 00726-6063
Practice Telephone 7877730123
Mailing Telephone 7877730123
Enumeration Date 2019-08-15
Last Update Date 2019-08-15
Authorized Official Name DR. LILLIAM EDITH RIVERA CAMACHO (PRESIDENT)
Authorized Official Telephone 7877730123
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 576 CALLE CESAR GONZALEZ STE 301
City SAN JUAN
State PR
Zip Code 00918-3757

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1710427497 Golden Orthodontics Psc Clinic/Center 525 Ave. Roosevelt, La Torre De Plaza Las Americas, Suite 709, San Juan, PR 00918 2017-03-01
1558741553 Paraiso Dental Pllc Clinic/Center 1618 N Veterans Blvd Suite A, San Juan, TX 78589 2015-06-04
1295139707 Dental Gallery Psc Clinic/Center Mcs 466 Ave De Diego 89, Suite 105, San Juan, PR 00927-5831 2014-10-13
1427450659 Jorge Varela Dental Office Clinic/Center 525 Ave Franklin D Roosevelt, Suite 609 Torre Plaza Las Americas, San Juan, PR 00918-8001 2014-09-18
1043636384 Dentist@latienda, LLC Clinic/Center 2002 Calle Las Violts Apt 302, City View Tower, San Juan, PR 00915-3544 2014-03-11
1124459755 Oficina Dental Cabrera & Nunez Clinic/Center 611 Ave Andalucia, Puerto Nuevo, San Juan, PR 00920-5310 2013-12-08
1790021426 Barbosa Dental Clinic Csp Clinic/Center 597 Ave Barbosa, Urb.valencia, San Juan, PR 00923-1955 2012-12-28
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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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