SAN JUAN PERIODONTICS (NPI# 1710355979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710355979 |
| Entity Type | Organization |
| Organization Name | SAN JUAN PERIODONTICS |
| Practice Address |
6 Calle Ponce Perez Morris San Juan PR 00917-5021 |
| Practice Telephone | 7872816681 |
| Practice Fax Number | 7872501392 |
| Mailing Telephone | 7872816681 |
| Mailing Fax Number | 7872501392 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | MR. JUAN RAFAEL SILVA (PRESIDENT) |
| Authorized Official Telephone | 7872816681 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
6 CALLE PONCE PEREZ MORRIS |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174640908 | Juan Rafael Silva | Dentist | 6 Calle Ponce, San Juan, PR 00917-5021 | 2007-03-25 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249122 | Micol Hernandez Rivera LLC | Dentist | 1959 Calle Loiza Ste 301, San Juan, PR 00911-1873 | 2020-03-09 |
| 1063925758 | Ashford Periodontics and Implants Psc | Dentist | 29 Calle Washington Ste 709, San Juan, PR 00907-1503 | 2017-11-16 |
| 1538411285 | Centro De Periodoncia E Implantologia Pavia | Dentist | 1449 Calle Americo Salas Ste 202, 1449 Americo Salas, San Juan, PR 00909-2101 | 2012-10-04 |
| 1477732931 | Eliseo Martinez - Gonzalez | Dentist | 10 Calle Candina, Apt 7-a, San Juan, PR 00907-1404 | 2007-10-31 |
| 1477605970 | Jose Javier Tolosa | Dentist | 9410 Los Romero Ave. Suite 207, San Juan, PR 00926 | 2007-01-17 |
| 1316096134 | Jose O Colon-deglans | Dentist | 576 Calle Cesar Gonzalez Ste 308, San Juan, PR 00918-3757 | 2007-01-10 |
| 1043392053 | Marcos F. Vecchini | Dentist | 525 Ave F D Roosevelt, Suite 615 La Torre De Plaza, San Juan, PR 00918-8001 | 2006-10-19 |
| 1992892244 | Jose Gilberto Gonzalez-gonzalez | Dentist | Summit Building Box 12 1738 Amarillo Street, 207-a, San Juan, PR 00926 | 2006-10-06 |
| 1154412567 | Jeanne Michelle Badillo | Dentist | 1738 Calle Amarillo, Suite 207a, San Juan, PR 00926-3072 | 2006-09-28 |
| 1184734683 | Jose Antonio Suris | Dentist | 400 Roosevelt Ave, Suite 502, San Juan, PR 00918 | 2006-08-30 |
| Find all providers in SAN JUAN | ||||
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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.