SERGIO PENUNURI (NPI# 1164791612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164791612 |
| Entity Type | Organization |
| Organization Name | SERGIO PENUNURI |
| Practice Address |
2340-408 J Clemente Orozco St Tijuana BC 22320 MX |
| Mailing Address |
Po Box 210116 Chula Vista CA 91921-0116 |
| Practice Telephone | 6646342898 |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |
| Authorized Official Name | MR. ALEJANDRO RAMOS (BILLER) |
| Authorized Official Telephone | 6199926290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
852992 | ZZ | Dental Providers |
| Street Address |
2340-408 J CLEMENTE OROZCO ST |
| City | TIJUANA |
| State | BC |
| Zip Code | 22320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597693 | Mayra G Garibay | Dentist | Leona Vicario #301, Tijuana, BAJA CALIFORNIA 22320 | 2020-10-29 |
| 1013486984 | Luis Carlos Ramirez | Dentist | Francisco Javier Mina #9308-a, Tijuana, BAJA CALIFORNIA 22320 | 2018-11-20 |
| 1619474582 | Maria De La Luz Soto | Dentist | Ave Circuito Bursatil #9031 Ste 305, Tijuana, BAJA CALIFORNIA 22320 | 2018-04-09 |
| 1467967935 | Jose E. Becerra Rodrigues | Dentist | Leona Vicario 1450, Zona Centro Suite 1, Tijuana, BAJA CALIFORNIA 22320 | 2017-12-06 |
| 1588175699 | Gabriela Zuniga Alvarez | Dentist | Paseo De Los Heroes 9211, Suite 203 Zona Rio, Tijuana, BAJA CALIFORNIA 22320 | 2017-10-16 |
| 1922559103 | Raul Amado Martinez Olivares | General Acute Care Hospital | Javier Mina 1415 2, Zona Urbana Rio Tijuana, Tijuana, BAJA CALIFORNIA 22320 | 2016-10-21 |
| 1366993289 | Adrian Karim Ruiz Rocha | Dentist | Paseo De Los Heroes # 9250, Zona Urbana Rio, Tijuana, BAJA CALIFORNIA 22320 | 2016-10-14 |
| 1497106488 | Lydia Chavez Garcia | Dentist | Ave Manuel Marguez De Leon 1420-1, Zona Rio, Tijuana, BAJA CALIFORNIA 22320 | 2016-06-30 |
| 1396191052 | Enriqueta Verdugo | Dentist | Ave Paseo De Los Heroes #108-303, Zona Rio, Tijuana, BAJA CALIFORNIA 22320 | 2016-05-11 |
| 1427419365 | Sylvia Marisela Tello Montilla | Dentist | Paseo De Los Heroes 108-303, Zona Rio, Tujuana, BAJA CALIFORNIA 22320 | 2016-03-18 |
| Find all providers in zip 22320 | ||||
| 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 |
|---|---|---|---|---|
| 1447876321 | Ana Karen Vargas | Dentist | Blvd General Abelardo L Rodriguez 10 Ste 306 Zona Urban, Tijuana, BAJA CALIFORNIA 22010 | 2020-06-17 |
| 1306316013 | Juan Manuel Olivar | Dentist | Ave Revolucion #868 C, Tijuana, BAJA CALIFORNIA 22000 | 2018-11-26 |
| 1043692098 | Stephanie Quintero | Dentist | Calle 7ma # 8074, Zona Centro, Tijuana, BAJA CALIFORNIA 22000 | 2015-06-26 |
| 1316216872 | Jose L. Servin | Dentist | 959 Ocampo Ave, Tijuana, BC 202000 | 2011-12-29 |
| 1497024954 | Adalberto Zazueta | Dentist | 1093 Mutualismo St, Tijuana, BC 22000 | 2011-12-29 |
| 1306115860 | Paul Zuniga | Dentist | 2044 Fourth Street, Tijuana, BC 22000 | 2011-12-29 |
| 1952670416 | Gerardo Vargas | Dentist | 7423 Fourth Street, Tijuana, BC 22000 | 2011-12-29 |
| 1407125966 | Ellizabeth Sanchez | Dentist | 3464 A Silvestre St, Col. Mirador, Tijuana, BC 22000 | 2011-12-29 |
| 1134498694 | Jesus A. Torres | Dentist | 8279-4 Fifth Street, Tijuana, BC 22000 | 2011-12-29 |
| 1407125958 | Jesus Rodriguez | Dentist | 5343 Fundadores Blvd, Suite 37, Tijuana, BC 22000 | 2011-12-29 |
| Find all providers in TIJUANA | ||||
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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.