SERVICIOS DE ENDODONCIA DEL SUR (NPI# 1699933606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699933606 |
| Entity Type | Organization |
| Organization Name | SERVICIOS DE ENDODONCIA DEL SUR |
| Practice Address |
128 Calle Ashford S Ste 204 Guayama PR 00784-5411 |
| Mailing Address |
Po Box 1499 Guayama PR 00785-1499 |
| Practice Telephone | 7878666406 |
| Practice Fax Number | 7878640189 |
| Mailing Telephone | 7878666406 |
| Mailing Fax Number | 7878640189 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | DR. ARHIMAZDA JIMENEZ (ENDODONTIST/OWNER) |
| Authorized Official Telephone | 7878666406 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2315 | PR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720219900 | Servicios De Endodoncia Del Sur | Dentist | Ashford Medical Palza Calle Ashford#128 Sur, Suite 204, Guayama, PR 00784 | 2009-08-05 |
| Street Address |
128 CALLE ASHFORD S STE 204 |
| City | GUAYAMA |
| State | PR |
| Zip Code | 00784-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281121 | Omar Gabriel Caro Feliz | General Practice | Urb Paseos Brisas Del Mar F 7, Guayama, PR 00784 | 2020-10-08 |
| 1619584471 | Domingo Luis Acosta Pacheco | Social Worker | Urb. El Dorado Calle Jazmin A6-a7, Guayama, PR 00784 | 2020-09-25 |
| 1215543277 | Harold William Bastian Vega | General Practice | El Legado Golf Resort, Apt.424, Guayama, PR 00784 | 2020-09-16 |
| 1326654328 | Jeymi Lee Gomez | Social Worker | Barrio Corazon Calle Candelaria 568, Guayama, PR 00784 | 2020-09-16 |
| 1023623774 | Maria A Torres | Social Worker | Hera #3, Monte Olivo, Guayama, PR 00784 | 2020-09-10 |
| 1710597885 | Edgar Nicolas Colon De-jesus | Physician Assistant | Bo Olimpo C3 Num 732, Guayama, PR 00784 | 2020-08-04 |
| 1376153684 | Pupila Optical LLC | Optometrist | El Molino Shopping Center Expreso Pr 54, Km 0.8, B11, Guayama, PR 00784 | 2020-08-03 |
| 1366050361 | Iris Migdalia Wilson Polanco | General Practice | Calle Genaro Cautino 86 Oeste, Guayama, PR 00784 | 2020-07-16 |
| 1598383713 | Pedro N Cadiz Miranda | General Practice | Urb El Dorado Calle Magnolia B7, Guayama, PR 00784 | 2020-07-14 |
| 1659995439 | Asia Elizabeth Delgado Lorenzo | Physician Assistant | #128 Ave. Ashford, Edif. Ashford Medical Plaza, Suite 201, Guayama, PR 00784 | 2020-06-08 |
| Find all providers in zip 00784 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659918605 | Mk Enterprise Inc | Clinic/Center | Commerce Plaza Suite 302, Guayama, PR 00784 | 2019-12-09 |
| 1043592439 | Family Optical Center Inc. | Clinic/Center | 48, Plaza Guayama Mall, Guayama, PR 00784 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131625 | Inmuni, LLC | Clinic/Center | Carr 417 Km 4.5, Bo. Asomante, Aguada, PR 00602 | 2020-10-16 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1588270490 | Phm Multidisciplinary Clinic Cabo Rojo LLC | Clinic/Center | Pr 100, Galeria 100 Shopping Center Lot No. 13, Cabo Rojo, PR 00623 | 2020-09-17 |
| 1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
| 1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1174161160 | Pm Health Corp | Clinic/Center | Urb. Villa Universitaria Calle 26a Ba 10, Humacao, PR 00971 | 2019-12-20 |
| 1710524855 | Empresas Jkp LLC | Clinic/Center | Hospital Doctors Center Torre Medica II Carr 2 Km 47.8, Suite 151 B, Manati, PR 00674 | 2019-12-09 |
| 1881231546 | Le Petit Vision Center LLC | Clinic/Center | Consolidated Mall C-22, Ave Gautier Benitez 202, Caguas, PR 00725-9998 | 2019-12-02 |
| 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.