DR. FERNANDO ORESTES SAN JUAN JR. (NPI# 1972906550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972906550 |
| Entity Type | Individual |
| Full Name | DR. FERNANDO ORESTES SAN JUAN JR. |
| Credential | D.M.D. |
| Practice Address |
3217 Sw Port St Lucie Blvd Port St Lucie FL 34953-3406 |
| Mailing Address |
1560 Se Hampshire Way Apt 201 Stuart FL 34994-5770 |
| Practice Telephone | 7728719456 |
| Mailing Telephone | 3053087335 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20988 | FL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6882 Coral Way, Miami, FL 331551704 | 3056628995 |
| Street Address |
3217 SW PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450556 | Atlantic Dental Management Company Pa | Dentist | 1449 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-04 |
| 1225584907 | Gregorio Joseph Cris Gugol Aquino | Dentist | 3415 Sw Ellis St, Port St Lucie, FL 34953-5100 | 2016-08-31 |
| 1417326869 | Sage Dental of Port St Lucie Pediatric & Specialty Center Pllc | Dentist | 1660 Sw Saint Lucie West Blvd, Suite 302, Port St Lucie, FL 34986-1967 | 2015-09-16 |
| 1619372760 | Aegean Dental of Port St Lucie, LLC | Dentist | 308 Nw Bethany Dr, Port St Lucie, FL 34986-3578 | 2014-10-31 |
| 1518212877 | Aditi K Patel | Dentist | 1679 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-2106 | 2012-07-23 |
| 1205193539 | Sage Dental of Port St Lucie West, Pllc | Dentist | 1722 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-2504 | 2012-04-11 |
| 1346528692 | Thomas Michael Hickey | Dentist | 1202 S.e. Port Saint Lucie Boulevard Suite B, Family Dentistry, Port St Lucie, FL 34952 | 2011-08-03 |
| 1710270939 | Affordable Dentures Port St. Lucie II Pa | Dentist | 9140 S Federal Highway, Port St Lucie, FL 34952-3485 | 2011-05-20 |
| 1457664229 | Daniel M Fenton | Dentist | 9140 S Federal Hwy, Port St Lucie, FL 34952-3485 | 2010-07-21 |
| 1154527208 | Rajinder Singh | Dentist | 531 Nw Lake Whitney Pl, Suite 106, Port St Lucie, FL 34986-1619 | 2007-06-25 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
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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.