SM DENTAL PSC (NPI# 1407025612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407025612 |
| Entity Type | Organization |
| Organization Name | SM DENTAL PSC |
| Practice Address |
Calle Ignacio Arzuaga 5w Carolina Pueblo Carolina PR 00985 |
| Mailing Address |
Po Box 871 Pueblo Station Carolina PR 00986 |
| Practice Telephone | 7877696880 |
| Practice Fax Number | 7877760757 |
| Mailing Telephone | 7877696880 |
| Mailing Fax Number | 7877760757 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. MIRIAM E MELENDEZ (OWNER) |
| Authorized Official Telephone | 7877696880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
1333 | PR | Dental Providers |
| Street Address |
CALLE IGNACIO ARZUAGA 5W CAROLINA PUEBLO |
| City | CAROLINA |
| State | PR |
| Zip Code | 00985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363705 | Margarita Ortiz | Pharmacist | Avenida Monserrate Esquina Main Calderon, Villa Carolina, Carolina, PR 00985 | 2019-12-13 |
| 1871154906 | Northeastern Medical Network L.L.C. | Family Medicine | 124-8 Ave Roberto Clemente, Carolina, PR 00985 | 2019-06-28 |
| 1871150904 | Ljr Medical LLC | Family Medicine | 3fs5 Ave Fragoso, Urb Villa Fontana, Carolina, PR 00985 | 2019-05-23 |
| 1720644289 | Health Laboratories Services, Inc. | Clinical Medical Laboratory | Carolina Shopping Court Local 302, Bo Martin Gonzalez, Carolina, PR 00985 | 2019-05-10 |
| 1346707171 | Edsel I Rivera | Nurse Practitioner | Century Business Park, 23 Carr 848, Carolina, PR 00985 | 2019-02-28 |
| 1699230847 | Carmen Milagros Vazquez Sr. | Social Worker | 23 Carolina Century Business Center Carr 848, Carolina, PR 00985 | 2019-02-01 |
| 1972067247 | Minorka Gizzette Figueroa-davila | Student in an Organized Health Care Education/Training Program | Calle 4 B-27 Estancias De San, Fernando, Carolina, PR 00985 | 2019-01-30 |
| 1962966119 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | 22-2 Calle 18, Urb Villa Carolina, Carolina, PR 00985 | 2019-01-22 |
| 1992289631 | Marilyn Figueroa Chinea | Pharmacist | Carr Pr 3 Km 9.5 Ave 65 Infanteria, Carolina, PR 00985 | 2018-09-19 |
| 1336623214 | Vanessa Jimenez | Pharmacist | 65 Infanteria Ave Carr 3 Km 9.5, Reparto Industrial San Gabriel, Carolina, PR 00985 | 2018-09-18 |
| Find all providers in zip 00985 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114146362 | Lizbeth Marie Colon-deglans | Dentist | Carolina Shopping Court, Piso 6, Suite 307, Carolina, PR 00985 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765983 | Boutique Dental | Dentist | Urb Royal Town Ave Las Cumbres A20, Bayamon, PR 00956 | 2020-03-13 |
| 1083249122 | Micol Hernandez Rivera LLC | Dentist | 1959 Calle Loiza Ste 301, San Juan, PR 00911-1873 | 2020-03-09 |
| 1245899293 | Vp Perio LLC | Dentist | Carr 693 Int 659 Km 1.5 Bo Maguayo, Suite B240, Dorado, PR 00646 | 2019-06-12 |
| 1063925758 | Ashford Periodontics and Implants Psc | Dentist | 29 Calle Washington Ste 709, San Juan, PR 00907-1503 | 2017-11-16 |
| 1578989042 | Frances Herrero | Dentist | 105 Calle 2a, Alturas De Torrimar Oeste, Guaynabo, PR 00969-3286 | 2014-03-08 |
| 1538411285 | Centro De Periodoncia E Implantologia Pavia | Dentist | 1449 Calle Americo Salas Ste 202, 1449 Americo Salas, San Juan, PR 00909-2101 | 2012-10-04 |
| 1114225232 | Micol B Hernandez Rivera | Dentist | Edificio Caribbean Cinemas II Suite 305, Plaza Rio Hondo, Bayamon, PR 00961-3114 | 2011-03-14 |
| 1689822157 | Katherine Emille Ramos | Dentist | Edificio Pavia II Calle Americo Salas 1449, Suite 202, Santurce, PR 00909 | 2008-09-08 |
| 1477732931 | Eliseo Martinez - Gonzalez | Dentist | 10 Calle Candina, Apt 7-a, San Juan, PR 00907-1404 | 2007-10-31 |
| 1144356544 | Francisco Herrero Sr. | Dentist | B8 Santa Cruz, Bayamon, PR 00961 | 2007-02-27 |
| 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.