CR DIAZ BONILLA DENTISTA PEDIATRICA PSC (NPI# 1255707568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255707568 |
| Entity Type | Organization |
| Organization Name | CR DIAZ BONILLA DENTISTA PEDIATRICA PSC |
| Practice Address |
51 Ave San Jose Suite 203 Aibonito PR 00705 |
| Mailing Address |
E28 Calle 14 Urb Quintas De Cupey San Juan PR 00926 |
| Practice Telephone | 7877350575 |
| Practice Fax Number | 7877352390 |
| Mailing Telephone | 7877350575 |
| Mailing Fax Number | 7877352390 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | DR. CAREM ROSA DIAZ (PRINCIPAL) |
| Authorized Official Telephone | 7874470892 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2334 | PR | Dental Providers |
| Street Address |
51 AVE SAN JOSE SUITE 203 |
| City | AIBONITO |
| State | PR |
| Zip Code | 00705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406267 | Cristaly Rivera | Social Worker | Carr 723 Km 0.01 Bo. Asomante 705, Aibonito, PR 00705 | 2020-10-27 |
| 1780283887 | Emily Rosa Matos | Psychologist | State Road 14, Calle Sargento Gerardo Santiago #15, Aibonito, PR 00705 | 2020-10-20 |
| 1417574039 | Clinica Todo Salud, LLC | Case Management | 53 Cll Felix Rios #71, Aibonito, PR 00705 | 2020-06-30 |
| 1821624032 | Keishla Cartagena | Psychologist | Carr 722 Km 3.9 Bo Rabanal Sector La Sierra, Aibonito, PR 00705 | 2020-03-19 |
| 1194351866 | Mi Tele Salud | Clinic/Center | Edificio Central, Calle Baldorioty 165 Norte Buzon #2, Aibonito, PR 00705 | 2020-03-13 |
| 1801421748 | Kiara Crystal Ortiz | Student in an Organized Health Care Education/Training Program | Urb. Mirador Las Delicias, Aibonito, PR 00705 | 2020-03-11 |
| 1407487374 | Asdrubal Enrique Rivera Dones | Student in an Organized Health Care Education/Training Program | Carr 723 Km 0.9 Int Bo. Asomante, Aibonito, PR 00705 | 2020-01-30 |
| 1285274761 | Francisco Manuel Pujals Frye | Student in an Organized Health Care Education/Training Program | Calle Sgto Gerardo Santiago Carr #14 Interior, Aibonito, PR 00705 | 2020-01-13 |
| 1871132464 | Farmacia Unity, Inc. | Pharmacy | Calle San Jose #51 Oeste, Aibonito, PR 00705 | 2019-12-30 |
| 1699314500 | Bienestar Health Group | Clinic/Center | Calle Baldorioty 165 Norte, Buzon #2, Barrio Llanos, Aibonito, PR 00705 | 2019-12-26 |
| Find all providers in zip 00705 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043293251 | Carem Rosa Diaz | Dentist | #51 San Jose Ave., Little Plaza Bldg., Suite #203, Aibonito, PR 00705 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198576 | San Juan Dental Center LLC | Dentist | 456 Calle Cesar Gonzalez, San Juan, PR 00918-2628 | 2018-09-20 |
| 1235678608 | Karla Gabriela Alacan-rios | Dentist | 540 Ave Miramar Ste 6, Arecibo, PR 00612-4366 | 2017-02-18 |
| 1366801185 | Healthy Smiles LLC | Dentist | Carr 156 Plaza Los Prados, Suite Z1, Caguas, PR 00725 | 2016-02-22 |
| 1174919732 | Jessica M Laguna Rodriguez | Dentist | Plaza Del Carmen Mall, Pr 172 Int Pr 1 Suite 22, Caguas, PR 00725 | 2015-04-10 |
| 1932510211 | Lionel Noel Vera-caraballo | Dentist | 274 Via De La Vereda, Vallw San Luis, Caguas, PR 00725 | 2014-05-08 |
| 1639410475 | Lomas Verdes Family Dental Csp | Dentist | Cond Laurel # Z30, Urb Lomas Verdes, Bayamon, PR 00956-3273 | 2013-03-04 |
| 1194029546 | Sunghee Kwak | Dentist | 7 Sylvan Avenue, Englewood Cliffs, PR 07632-2413 | 2010-12-28 |
| 1366746901 | Centro Denal Pediatrico Smiles 'r' Us Csp | Dentist | Calle Pimentel #45, 2nd Floor, Rio Grande, PR 00745 | 2010-12-22 |
| 1285878587 | Optimum Dental Care, Csp | Dentist | 107 Ave Ortegon Ste 202, Caparra Gallery Building, Guaynabo, PR 00966-2517 | 2009-04-30 |
| 1558527085 | Lenna M Aviles | Dentist | Marginal Cana Calle 5 Pp-14, Bayamon, PR 00957 | 2008-08-04 |
| 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.