IDENTAL CENTER, PSC (NPI# 1912200908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912200908 |
| Entity Type | Organization |
| Organization Name | IDENTAL CENTER, PSC |
| Practice Address |
A5 Street 1 Urbanizacion Villa Hilda Yabucoa PR 00767 |
| Mailing Address |
Po Box 1198 Las Piedras PR 00771-1198 |
| Practice Telephone | 7872663140 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |
| Authorized Official Name | MARIA I GOMEZ (MANAGER) |
| Authorized Official Telephone | 7872663140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2673 | PR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760785802 | Idental Center, Psc | Dentist | A5 Street 1, Urbanizacion Villa Hilda, Yabucoa, PR 00767 | 2010-12-13 |
| Street Address |
A5 STREET 1 URBANIZACION VILLA HILDA |
| City | YABUCOA |
| State | PR |
| Zip Code | 00767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760785802 | Idental Center, Psc | Dentist | A5 Street 1, Urbanizacion Villa Hilda, Yabucoa, PR 00767 | 2010-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394286 | Gretchen Lorraine Nieves-burgos | Student in an Organized Health Care Education/Training Program | Bo Juan Martin Carr 901 Km1, Yabucoa, PR 00767 | 2020-07-30 |
| 1598385254 | Cossma, Inc. | Clinic/Center | Bo Juan Martin Carr 901 Km 1.6, Yabucoa, PR 00767 | 2020-04-23 |
| 1790311181 | Victor Rodriguez | General Practice | Pr-3 Km 98.2, Bo Juan Martin, Yabucoa, PR 00767 | 2020-03-17 |
| 1285267609 | W V P Medical Services Psc | Pediatrics | Bo. Juan Martin Km 97.3, Calle 3, Yabucoa, PR 00767 | 2020-02-13 |
| 1396389862 | Acosta Medical Group LLC | General Practice | Suite 1 Calle Marginal, Urb Mendez #6, Yabucoa, PR 00767 | 2019-10-29 |
| 1376104349 | Hanoc Baez Ortiz | Speech-Language Pathologist | Calle El Sol Car 3 Int 908, Bo Aguacate, Yabucoa, PR 00767 | 2019-06-21 |
| 1265096044 | Hospital Menonita Caguas Inc | Clinic/Center | Carr 901 Km 5 Salida Hacia Camino Nuevo, Yabucoa, PR 00767 | 2019-04-26 |
| 1659832095 | Jaime Marchena | Counselor | Carr 901 Km 1.6, Bo Juan Martin, Yabucoa, PR 00767 | 2019-03-28 |
| 1821568221 | Farmacia Los Angeles,inc | Pharmacy | Calle Cristobal Colon # 18, Yabucoa, PR 00767 | 2018-11-28 |
| 1437627585 | Sherly Marie Rivera | Registered Nurse | Juan Martin Sector Los Casanovas, Yabucoa, PR 00767 | 2018-11-07 |
| Find all providers in zip 00767 | ||||
| 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 |
| 1881984920 | Mpl Maxillofacial Surgery, Psc | Dentist | Carr 111 Km 18, Bahomamey, San Sebastian, PR 00685 | 2011-04-11 |
| 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 | ||||
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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.