CENTRO MEDICO DENTAL DEL NORESTE


Address: Carr.3, Km 19.6, Canovanas, PR 00729
Phone: 7877922850

CENTRO MEDICO DENTAL DEL NORESTE (NPI# 1447465042) 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) 1447465042
Entity Type Organization
Organization Name CENTRO MEDICO DENTAL DEL NORESTE
Practice Address Carr.3
Km 19.6
Canovanas
PR 00729
Mailing Address 1311 Americo Miranda Ave
San Juan
PR 00921-2118
Practice Telephone 7877922850
Practice Fax Number 7877490406
Mailing Telephone 7877922850
Mailing Fax Number 7877490406
Enumeration Date 2007-05-14
Last Update Date 2020-08-22
Authorized Official Name DR. DAVID SANTIAGO (PRESIDENT)
Authorized Official Telephone 7875253946
Authorized Official Credential DMD, MDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
1520 PR Dental Providers

Office Location

Street Address CARR.3
KM 19.6
City CANOVANAS
State PR
Zip Code 00729

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1982221800 Natalie Crystal Rivera Rodriguez Student in an Organized Health Care Education/Training Program Urb River Valley C. Rio La Plata E 11, Canovanas, PR 00729 2020-06-26
1295358380 Ed Bonano Technician/Technologist Z 974 Calle Bahunia Loiza Valley, Canovanas, PR 00729 2020-05-22
1477184943 Krystle Marie Feliciano Social Worker Loiza Valleyshopping Center, Local Aa-6, Canovanas, PR 00729 2020-02-03
1932730421 Bethzaida Cotto Occupational Therapy Assistant Canovanas Mall Enrique Mangual Carr. 185 Km. 1.0, Local 14, Canovanas, PR 00729 2020-02-03
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

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1124533468 Centro Ortodontico Dra. Annelisse Figueroa Dentist 6 Urb Gomez, Humacao, PR 00791-4224 2017-12-08
1952828782 Condado Orthodontics Psc Dentist 1452 Ave Ashford Ste 406, San Juan, PR 00907 2017-08-23
1568902120 Centro Ortodontico Del Norte Dentist 560 Ave San Luis Ste 1, Arecibo, PR 00612-3640 2017-03-02
1437540697 Velez Orthodontics, Inc. Dentist Rd 2 #1845, Bayamon Medical Plaza Suite 801, Bayamon, PR 00959 2015-02-10
1033518527 Flynn Orthodontics Dentist D17 Calle Buen Samaritano, Guaynabo, PR 00966-2025 2014-08-20
1811336944 Torrimar Orthodontics Dentist Ave. Ramirez De Arellano 19-22, Torrimar Shopping Center, Guaynabo, PR 00966 2013-06-21
1073889812 Jose Angel Morales Dentist 1452 Ashford Ave., Suite 406, San Juan, PR 00907 2012-03-27
1952676850 Maria Ilse Salcedo Dentist Area Centro Medico Universidad De Puerto Rico, Escuela De Medicina Dental Ortodoncea, San Juan, PR 00937-5067 2012-03-12
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Competitor

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City CANOVANAS
Zip Code 00729

Improve Information

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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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