CENTRO DE RECONSTRUCCION ORAL E IMPLANTES


Address: Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968
Phone: 7877811831

CENTRO DE RECONSTRUCCION ORAL E IMPLANTES (NPI# 1063919124) 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) 1063919124
Entity Type Organization
Organization Name CENTRO DE RECONSTRUCCION ORAL E IMPLANTES
Practice Address Calle 1 Esq 6 Urb Parkside Cond San Patricio II
Suite 1
Guaynabo
PR 00968
Mailing Address Po Box 361357
San Juan
PR 00936-1357
Practice Telephone 7877811831
Practice Fax Number 7877815030
Mailing Telephone 7877811831
Mailing Fax Number 7877815030
Enumeration Date 2018-04-06
Last Update Date 2018-04-06
Authorized Official Name DR. JOSE E. PEDROZA RODRIGUEZ (PRESIDENTE)
Authorized Official Telephone 7877811831
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
PR Ambulatory Health Care Facilities

Office Location

Street Address CALLE 1 ESQ 6 URB PARKSIDE COND SAN PATRICIO II
SUITE 1
City GUAYNABO
State PR
Zip Code 00968

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1376897892 Cmr Dental Group, P.s.c. Clinic/Center Ave. Esmeralda #6 Urb. Ponce De Leon, Guaynabo, PR 00969-4280 2012-11-06
1679618011 Ibg Psc Clinic/Center Suite 202a, 107 Ave. Gonzalez Guisti, Guaynabo, PR 00966 2007-02-21
1497135560 Dr Ralph Torres Csp Clinic/Center A1 Calle Arpegio, Urb Highland Gardens, Guaynabo, PR 00969-3519 2015-06-04
1952685117 Clinica Dental Dr Daniel D Diaz Jimenez Clinic/Center 123 Ave Ponce De Leon, Bo Amelia, Guaynabo, PR 00965-5602 2011-10-06
1962685701 Centro De Periodoncia E Implantes De Pr,psc Clinic/Center 101 Ave San Patricio, Maramar Plaza Ste. 830, Guaynabo, PR 00968-2645 2007-12-16

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Competitor

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City GUAYNABO
Zip Code 00968

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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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