MPL MAXILLOFACIAL SURGERY, PSC (NPI# 1881984920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881984920 |
| Entity Type | Organization |
| Organization Name | MPL MAXILLOFACIAL SURGERY, PSC |
| Practice Address |
Carr 111 Km 18 Bahomamey San Sebastian PR 00685 |
| Mailing Address |
Po Box 1678 San Sebastian PR 00685-1678 |
| Practice Telephone | 9542325590 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. MIGUEL PASTRANA (PRESIDENT) |
| Authorized Official Telephone | 9542325590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2043 | PR | Dental Providers |
| Street Address |
CARR 111 KM 18 BAHOMAMEY |
| City | SAN SEBASTIAN |
| State | PR |
| Zip Code | 00685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947412 | Juan Carlos Rodriguez | General Practice | Urb Olivencia, Calle Julia Ruiz #1, San Sebastian, PR 00685 | 2020-09-22 |
| 1326653148 | Nelson David Valentin | General Practice | Urb. Colinas Verdes Calle #1, L4, San Sebastian, PR 00685 | 2020-09-09 |
| 1033758115 | Elinedh Caban I | Pharmacy Technician | Carr 111 Km 13.4, San Sebastian, PR 00685 | 2020-01-06 |
| 1932745064 | Elizabeth Fuentes-sotomayor | Pharmacy Technician | Rd. 109 Km 26.7, Bo Culebrina, San Sebastian, PR 00685 | 2019-11-25 |
| 1740823681 | Mendez Laboratory Clinic Inc | Clinical Medical Laboratory | Plaza Anidem Local 4, Carr 447 Km 3.8 Aibonito Guerrero, San Sebastian, PR 00685 | 2019-10-23 |
| 1821555715 | Carlos Gonzalez Perez | Non-emergency Medical Transport (VAN) | Bo Pozas Sector Los Nobles, San Sebastian, PR 00685 | 2019-02-27 |
| 1477019560 | Elizabeth Gonzalez Morales | General Practice | Carr 125 Km 15.5 Int Hato Arriba, San Sebastian, PR 00685 | 2019-02-14 |
| 1891250825 | Migrant Health Center Western Region, Inc. | Clinical Medical Laboratory | Ave. Emerito Estrada Rivera #424, Carr. Estatal Pr-111 Km 22, San Sebastian, PR 00685 | 2019-02-04 |
| 1417412651 | Steven J Roman Troche | Student in an Organized Health Care Education/Training Program | 50 Calle Los Pinos, San Sebastian, PR 00685 | 2019-02-01 |
| 1720555758 | Rone Inc | General Practice | Calle Jose Mendez Cardona 3, San Sebastian, PR 00685 | 2018-10-29 |
| Find all providers in zip 00685 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAN SEBASTIAN |
| Zip Code | 00685 |
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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.