GNATHOS SURGICAL GROUP, LLC (NPI# 1699074039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699074039 |
| Entity Type | Organization |
| Organization Name | GNATHOS SURGICAL GROUP, LLC |
| Practice Address |
Suite 305 Carolina Shopping Court Carolina PR 00985 |
| Mailing Address |
Pmb 209 Po Box 70344 San Juan PR 00936-8344 |
| Practice Telephone | 7876414646 |
| Practice Fax Number | 7877504646 |
| Mailing Telephone | 7876414646 |
| Mailing Fax Number | 7877504646 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | DR. FRANCISCO L BERMUDEZ (PRESIDENT) |
| Authorized Official Telephone | 7872374418 |
| Authorized Official Credential | D.M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2070 | PR | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Suite 400 Carimed Plaza, B1 Santa Cruz St., Bayamon, PR 00961 | 7879985008 | 7879985009 |
| Street Address |
SUITE 305 CAROLINA SHOPPING COURT |
| City | CAROLINA |
| State | PR |
| Zip Code | 00985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740277938 | Francisco L. Bermudez | Dentist | Suite 305 Carolina Shopping Court, Carolina, PR 00985 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363705 | Margarita Ortiz | Pharmacist | Avenida Monserrate Esquina Main Calderon, Villa Carolina, Carolina, PR 00985 | 2019-12-13 |
| 1871154906 | Northeastern Medical Network L.L.C. | Family Medicine | 124-8 Ave Roberto Clemente, Carolina, PR 00985 | 2019-06-28 |
| 1871150904 | Ljr Medical LLC | Family Medicine | 3fs5 Ave Fragoso, Urb Villa Fontana, Carolina, PR 00985 | 2019-05-23 |
| 1720644289 | Health Laboratories Services, Inc. | Clinical Medical Laboratory | Carolina Shopping Court Local 302, Bo Martin Gonzalez, Carolina, PR 00985 | 2019-05-10 |
| 1346707171 | Edsel I Rivera | Nurse Practitioner | Century Business Park, 23 Carr 848, Carolina, PR 00985 | 2019-02-28 |
| 1699230847 | Carmen Milagros Vazquez Sr. | Social Worker | 23 Carolina Century Business Center Carr 848, Carolina, PR 00985 | 2019-02-01 |
| 1972067247 | Minorka Gizzette Figueroa-davila | Student in an Organized Health Care Education/Training Program | Calle 4 B-27 Estancias De San, Fernando, Carolina, PR 00985 | 2019-01-30 |
| 1962966119 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | 22-2 Calle 18, Urb Villa Carolina, Carolina, PR 00985 | 2019-01-22 |
| 1992289631 | Marilyn Figueroa Chinea | Pharmacist | Carr Pr 3 Km 9.5 Ave 65 Infanteria, Carolina, PR 00985 | 2018-09-19 |
| 1336623214 | Vanessa Jimenez | Pharmacist | 65 Infanteria Ave Carr 3 Km 9.5, Reparto Industrial San Gabriel, Carolina, PR 00985 | 2018-09-18 |
| Find all providers in zip 00985 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
|---|---|---|---|---|
| 1528304425 | Jannelly Restituyo Rosario | Dentist | 143-3 Calle 401, Villa Carolina, Carolina, PR 00985-4022 | 2012-12-20 |
| 1477818763 | Patricia Del Pilar Alvarado | Dentist | 143-3 Calle 401 Villa Carolina, Valle Verde Suite 201, Carolina, PR 00985 | 2012-07-12 |
| 1568785673 | Fernando Jimenez-torres Psc | Dentist | Villa Carolina 143-3, St 401, Carolina, PR 00985 | 2010-03-03 |
| 1821131327 | Hector M Alvarado | Dentist | Street Amadeo Number 9, Carolina, PR 00986 | 2007-02-14 |
| 1528107398 | Jaime Suarez | Dentist | Los Colobos Shopping Center Cinema Building, Suite 208 65th Infantery Ave. Bo. Canovanillas, Carolina, PR 00985 | 2007-02-06 |
| 1740277938 | Francisco L. Bermudez | Dentist | Suite 305 Carolina Shopping Court, Carolina, PR 00985 | 2005-10-03 |
| 1851849210 | J Restituyo-rosario, LLC | Dentist | 143-3 Calle 401, Villa Carolina, Carolina, PR 00985-4022 | 2016-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855463 | Ar Dental Clinic LLC | Dentist | #17 Calle Daniel Flores, Juncos, PR 00777-3410 | 2019-11-08 |
| 1528618410 | Ashford Oral & Maxillofacial Surgery LLC | Dentist | 29 Calle Washington Ste 502-503, San Juan, PR 00907-1510 | 2019-09-12 |
| 1164814042 | Four Molar Psc | Dentist | 429 Calle Rey Luis, La Villa De Torrimar, Guaynabo, PR 00969-3170 | 2015-03-02 |
| 1154726131 | Rafael Antonio Gavilanes | Dentist | 1005 Ave General Ramey Ste 1, San Antonio, PR 00690 | 2014-11-03 |
| 1750712162 | Third Molar Inc | Dentist | I47 Calle I, Extension Hermanas Davila, Bayamon, PR 00959-5266 | 2013-12-11 |
| 1881984920 | Mpl Maxillofacial Surgery, Psc | Dentist | Carr 111 Km 18, Bahomamey, San Sebastian, PR 00685 | 2011-04-11 |
| 1912200908 | Idental Center, Psc | Dentist | A5 Street 1, Urbanizacion Villa Hilda, Yabucoa, PR 00767 | 2010-12-13 |
| 1194025627 | Programa Graduado Cirugia Oral Y Maxilofacial, Upr | Dentist | Centro Medico Rio Piedras, Recinto De Ciencias Medicas, 1er Piso, A 127, San Juan, PR 00936 | 2010-11-01 |
| 1689980682 | Jrc Maxillofacial Services,psc | Dentist | Garrido Morales 53, Fajardo, PR 00738-1087 | 2010-08-27 |
| 1508005984 | David E Vazquez-morales | Dentist | A1 Ave Munoz Rivera Suite 302, Cirugia Ambulatoria, Caguas, PR 00726 | 2009-02-09 |
| Find all providers with the same taxonomy | ||||
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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.