ASHFORD ORAL & MAXILLOFACIAL SURGERY LLC (NPI# 1528618410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528618410 |
| Entity Type | Organization |
| Organization Name | ASHFORD ORAL & MAXILLOFACIAL SURGERY LLC |
| Practice Address |
29 Calle Washington Ste 502-503 San Juan PR 00907-1510 |
| Mailing Address |
Palmas Plantation, Palmas Del Mar 51 Humacao PUERTO RICO 00791 UM |
| Practice Telephone | 7874033587 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | DR. JUAN G FUENTES ARROYO (SOLE MBR) |
| Authorized Official Telephone | 7874033587 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
29 CALLE WASHINGTON STE 502-503 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00907-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338574 | Pop Health, LLC | Chiropractor | Cond Casa Del Valle, Comercial B, 1450 Ave Ashford, San Juan, PR 00907 | 2020-08-26 |
| 1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
| 1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1376182519 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Vig Tower, Piso 1, 1225 Ave Ponce De Leon, San Juan, PR 00907 | 2020-01-06 |
| 1154979235 | Teresa Pilar Del Rio | Student in an Organized Health Care Education/Training Program | Calle Villamil 303, Apt 1506, San Juan, PR 00907 | 2019-08-31 |
| 1457906208 | Jose A Pineiro Salgado | Audiologist | San Juan Health Center Bldg, 150 Ave De Diego, San Juan, PR 00907 | 2019-08-08 |
| 1649825456 | Melba I Rivera | Social Worker | Hospital De Psiquiatria Estatal Dr Ramon Fernandez Mari, Calle Maga Bo Monacillos, San Juan, PR 00907 | 2019-08-08 |
| 1346894060 | Hazel Faunde | Social Worker | 605 Calle Condado, Edif San Alberto Suite 611, Santurce, PR 00907 | 2019-07-31 |
| 1134789407 | Alexandra Medina Calderon | Social Worker | Edificio Plaza Del Condado, 62-64 Calle Condado, Condado, PR 00907 | 2019-06-18 |
| Find all providers in zip 00907 | ||||
| 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 |
|---|---|---|---|---|
| 1194025627 | Programa Graduado Cirugia Oral Y Maxilofacial, Upr | Dentist | Centro Medico Rio Piedras, Recinto De Ciencias Medicas, 1er Piso, A 127, San Juan, PR 00936 | 2010-11-01 |
| 1891998621 | Ricardo Javier Jimenez-bosch | Dentist | Doral Financial Plaza 1451 Roosevelt Avenue, Suite 800, San Juan, PR 00920 | 2007-06-08 |
| 1942232871 | Luis Jose Diaz | Dentist | 400 F.d. Roosevelt Ave, Suite 503, San Juan, PR 00918-1929 | 2006-07-07 |
| 1629045885 | Vicente M Batlle | Dentist | 525 F.d.roosevelt Ave. Torre Plaza Las Americas, Suitei806, San Juan, PR 00918 | 2006-03-07 |
| 1396738571 | Bonifacio Rivera-virella | Dentist | 1769 Ave Jesus T Pinero, San Juan, PR 00920-5408 | 2005-08-24 |
| 1215598644 | Jaime Alberto Castro Nunez | Dentist | Universidad De Puerto Rico Recinto De Ciencias Medicas, Paseo Dr Jose Celso Barbosa, San Juan, PR 00921-0092 | 2019-06-26 |
| 1265778161 | Adriana Del Llano Torres | Dentist | University of Puerto Rico Medical Science Campus, School of Dental Medicine, San Juan, PR 00936 | 2012-12-20 |
| 1477881084 | Raul Colon Nieves | Dentist | 200 Ave Winston Churchill Ste 201, San Juan, PR 00926-6655 | 2009-11-20 |
| 1366639189 | Elizabeth M Orsini-lopez | Dentist | 570 Calle Napoles Ste 208, Concordia Gardens Shopping Ctr, San Juan, PR 00924-4605 | 2007-09-25 |
| 1205968229 | Caribbean Oral and Maxillofacial Surgical Arts Institute, P.s.c. | Dentist | 735 Ave Ponce De Leon, Suite 514, San Juan, PR 00917-5022 | 2007-03-12 |
| Find all providers in SAN JUAN | ||||
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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.