AJL DENTAL (NPI# 1104213099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104213099 |
| Entity Type | Organization |
| Organization Name | AJL DENTAL |
| Practice Address |
607 Calle Dr Loyola Penuelas PR 00624 |
| Mailing Address |
22 Calle 25 De Julio Guanica PR 00653-2110 |
| Practice Telephone | 7874644142 |
| Mailing Telephone | 7874647980 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | KATHY BRAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7878362424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
1585 | PR | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Calle 25 De Julio, Guanica, PR 006532110 | 7874644142 |
| Street Address |
607 CALLE DR LOYOLA |
| City | PENUELAS |
| State | PR |
| Zip Code | 00624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952939258 | Med Centro, Inc. | Clinic/Center | Km Hm 6-5 Carr 385 Bo Cuevas, Penuelas, PR 00624 | 2020-03-31 |
| 1851927610 | Pedro Jose Rivera | Physician Assistant | Carretera 132 Km 9.2 Interior Barrio Cotto Quebradas Se, Penuelas, PR 00624 | 2020-03-12 |
| 1750923439 | Denise Feliciano | Registered Nurse | Alturas De Penuelas 1, Calle 8 Casa C-7, Penuelas, PR 00624 | 2019-10-14 |
| 1114577350 | Farmacia La Chimenea | Pharmacy | Carretera Pr-132 Km 8.7, Penuelas, PR 00624 | 2019-09-19 |
| 1073162087 | Zuleika Perez | Social Worker | Barrio Rucio Carretera 391 Km 3.5, Penuelas, PR 00624 | 2019-09-11 |
| 1548724206 | Cesar Julian Torres Gutierrez | Student in an Organized Health Care Education/Training Program | 119 Carr Pr 391, Penuelas, PR 00624 | 2019-01-28 |
| 1063870772 | Juana Enid Colon | Pharmacist | 175 Carr Pr 385, Walgreens 9118, Penuelas, PR 00624 | 2016-02-09 |
| 1063894186 | Osvaldo Gotay-ruiz | Social Worker | 75 Reparto Kennedy, Penuelas, PR 00624 | 2015-06-25 |
| 1568853687 | Instituto De Ginecologia Y Obstetricia Del Sur | Clinic/Center | 628 Calle Pedro Velazquez A 2 A 3, Penuelas, PR 00624 | 2015-02-11 |
| 1891031357 | Advance Implant, Tissue and Cell Technologies Inc. | Prosthetic/Orthotic Supplier | Puerto Galexeda Calle 2 # E3, Penuelas, PR 00624 | 2013-01-02 |
| Find all providers in zip 00624 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679976914 | Penuelas Dental Team LLC | Clinic/Center | 628 Pedro Velazquez, Edificio Aurora 3b, Penuelas, PR 00624 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401942 | Innovare Dental | Clinic/Center | Edif Tropical Plaza Suite 3, Carr 2 Marginal 272, Hatillo, PR 00659 | 2020-03-06 |
| 1275177990 | Jorge Galiber | Clinic/Center | 167 Calle San Felipe, Arecibo, PR 00612-4680 | 2019-11-06 |
| 1306495023 | Dc Dental, Inc | Clinic/Center | 61 Calle Domingo Caceres W, Carolina, PR 00985-6010 | 2019-09-05 |
| 1043868722 | Paola Berrios Dmd Psc | Clinic/Center | Plaza Del Carmen Mall Suite 22 Carr 172, Caguas, PR 00725 | 2019-08-27 |
| 1538715404 | Lrc Esthetic Dental Care | Clinic/Center | 576 Calle Cesar Gonzalez Ste 301, San Juan, PR 00918-3757 | 2019-08-15 |
| 1790244119 | Family Pro Smiles | Clinic/Center | Edificio Colon Plaza, Carr 110 Km 12.4, Moca, PR 00676-0000 | 2019-03-15 |
| 1134687379 | Gq Dental Clinic P.s.c. | Clinic/Center | Marina Plaza Suite 16, Barrio Rincon, Gurabo, PR 00778-0961 | 2019-03-06 |
| 1982168951 | Natalia V. Ramirez Rodriguez, Dentistry, LLC | Clinic/Center | Ext 1 Calle Sol, San German, PR 00683 | 2019-01-24 |
| 1255816385 | Advanced Dental Service | Clinic/Center | Carr 110 Int Pr 125, Moca Medical Plaza 211, Moca, PR 00676 | 2018-09-25 |
| 1063919124 | Centro De Reconstruccion Oral E Implantes | Clinic/Center | Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968 | 2018-04-06 |
| 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.