CRISTOBAL PORTUGAL


Address: Gobernador Lugo 9531, Ste 4, Tijuana, BAJA CALIFORNIA 22044, MX
Phone: 6642002617

CRISTOBAL PORTUGAL (NPI# 1043745623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043745623
Entity Type Organization
Organization Name CRISTOBAL PORTUGAL
Other Organization Name CRISTOBAL PORTUGAL DDS
Practice Address Gobernador Lugo 9531
Ste 4
Tijuana
BAJA CALIFORNIA 22044
MX
Mailing Address 4275 Executive Sq
Ste 200
La Jolla
CA 92037-9123
Practice Telephone 6642002617
Practice Fax Number 8662726924
Mailing Telephone 6194883200
Mailing Fax Number 8662726924
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Authorized Official Name DR. CRISTOBAL PORTUGAL (DENTIST)
Authorized Official Telephone 6194883200
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2868480 ZZ Dental Providers

Other Provider/Organization Names

Other Name Type Code
Cristobal Portugal DDS Doing Business As Name - Organization

Office Location

Street Address GOBERNADOR LUGO 9531
STE 4
City TIJUANA
State BAJA CALIFORNIA
Zip Code 22044

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760095145 Jordana Bree Righter Social Worker 6400 R Seven Corners Place, Falls Church, VA 22044 2020-08-26
1912521840 Minhthu Tran Nurse Practitioner 2946 Sleepy Hollow Rd Office # G Basement, Falls Church, VA 22044 2020-06-06
1407353378 Rafael Alcaraz Dentist Gobernador Lugo #9815 - 314, Tijuana, BAJA CALIFORNIA 22044 2018-04-09
1437684016 Miriam J Martinez Dentist Gobernador Ibarra 9651, Ste 10, Tijuana, BAJA CALIFORNIA 22044 2017-04-20
1568827830 Jose Manuel Montero Martinez Dentist Ermita Sur 225-6, Fracc. Leos, Tijuana, BAJA CALIFORNIA 22044 2015-12-30
1114317286 John David Spargo Nurse Practitioner 6288 Arlington Blvd, Falls Church, VA 22044 2015-01-28
1790182160 Care Gsl Richmond Opco LLC Assisted Living Facility 6312 Seven Corners Center #161, Falls Church, VA 22044 2014-12-01
1629491477 Amy Hsu Speech-Language Pathologist 6231 Leesburg Pike Ste520, Falls Church, VA 22044 2014-01-30
1306282470 Thi Ngoc Nguyen Chiropractor 6400 Seven Corners Pl., Suite H, Falls Church, VA 22044 2013-05-16
1093060147 All Smiles Dental of Falls Church, Pllc Dentist 6400 K Seven Corners Pl, All Smiles Dental of Falls Church, Pllc, Falls Church, VA 22044 2012-07-16
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548803554 Hospital Mexico De Bc Sa De Cv Dentist Paseo Tijuana No. 9077 Col. Empleados, Tijuana, BAJA CALIFORNIA 22010 2019-10-22
1912552969 Fernando Cadena Dentist Brasil 183, Local 6, Tijuana, BAJA CALIFORNIA 22040 2019-08-07
1538720354 Biodental Care S.c. Dentist C. Luis Cabrera #2071-301, Zona Urbana Rio Tijuana, Tijuana, BAJA CALIFORNIA 22010 2019-06-24
1760960033 Melissa Macias Dentist Tecnologico #14527 L 34, Tijuana, BAJA CALIFORNIA 22427 2018-07-30
1013495381 Ana Acosta Dentist Via Rapida Oriente #4222, Tijuana, BAJA CALIFORNIA 22110 2018-07-30
1962980235 Daniela Mata Dentist Jose Clemente Orozco #2330, Tijuana, BAJA CALIFORNIA 22010 2018-07-30
1386137669 David Gomez Dentist Ave Mutualismo 931-b, Tijuana, BAJA CALIFORNIA 22000 2018-06-11
1477044303 Rafael Chavez Dentist Santiago Arguello #736, Plaza Santa Cecilia, Tijuana, BAJA CALIFORNIA 22000 2018-05-26
1518454297 Roberto Ruiz Dentist Calle 4ta #7800 - 4, Tijuana, BAJA CALIFORNIA 22000 2018-04-18
1720585961 Silvia V Cobarrubias Dentist 1427 Melchor Ocampo, Tijuana, BAJA CALIFORNIA 22000 2018-04-12
Find all providers in TIJUANA

Competitor

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City TIJUANA
Zip Code 22044

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Dataset Information

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.

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