PARAISO DENTAL PLLC


Address: 1618 N Veterans Blvd Suite A, San Juan, TX 78589
Phone: 7064611631

PARAISO DENTAL PLLC (NPI# 1558741553) 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) 1558741553
Entity Type Organization
Organization Name PARAISO DENTAL PLLC
Other Organization Name PARAISO DENTAL
Practice Address 1618 N Veterans Blvd Suite A
San Juan
TX 78589
Mailing Address 6708 W.mile 7 Rd.
Mission
TX 78574
Practice Telephone 7064611631
Practice Fax Number 9567817000
Mailing Telephone 9567837070
Mailing Fax Number 9567817000
Enumeration Date 2015-06-04
Last Update Date 2015-06-04
Authorized Official Name DR. GEORGE LUIKHAM (DENTIST)
Authorized Official Telephone 9567837070
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

Other Provider/Organization Names

Other Name Type Code
Paraiso Dental Doing Business As Name - Organization

Office Location

Street Address 1618 N VETERANS BLVD SUITE A
City SAN JUAN
State TX
Zip Code 78589

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1811325970 Liquid Dental, Pllc Dentist 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 2013-10-28
1598021966 Kids Dental & Orthodontics Dentist 1618 N. I Road Suite A, San Juan, TX 78589 2012-04-10
1003180704 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 100 E Fm 495, San Juan, TX 78589 2012-02-28
1598074932 Chukwunonso Jideofor Azikiwe Physical Therapy Assistant 407 W. State Hwy 495, San Juan, TX 78589 2010-10-04
1093044539 Melissa Rivera Dds Pa Dentist 4500 N Raul Longoria Street, San Juan, TX 78589 2009-12-11
1598995607 Marivel Lydia Cavazos Nurse Practitioner 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 2009-07-23
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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538715404 Lrc Esthetic Dental Care Clinic/Center 576 Calle Cesar Gonzalez Ste 301, San Juan, PR 00918-3757 2019-08-15
1861987786 Sweet Tooth Family Dentistry PC Clinic/Center 108 E Fm 495 Ste B, San Juan, TX 78589-3725 2018-06-23
1902304306 Dml Dental Services LLC Clinic/Center 544 Aldebaran Street, Urb. Altamira, Edif. Edgewell, Ofic. 102, San Juan, PR 00920 2018-01-31
1710427497 Golden Orthodontics Psc Clinic/Center 525 Ave. Roosevelt, La Torre De Plaza Las Americas, Suite 709, San Juan, PR 00918 2017-03-01
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
1053681999 Grupo Dental Dr. Jose S Belaval Clinic/Center Ave Borinquen Esq. Calle Nin Bo. Obrero, San Juan, PR 00915 2012-01-10
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Competitor

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City SAN JUAN
Zip Code 78589

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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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