CLINICA DENTAL CANTON MALL (NPI# 1760711964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760711964 |
| Entity Type | Organization |
| Organization Name | CLINICA DENTAL CANTON MALL |
| Other Organization Name | CLINICA DENTAL CANTON MALL |
| Practice Address |
Rio Hondo Pmb Suite 452 Bayamon PR 00961-3106 |
| Mailing Address |
Rio Hondo Ave Pmb Suite 452 Bayamon PR 00961-3110 |
| Practice Telephone | 7877853170 |
| Practice Fax Number | 7877853170 |
| Mailing Telephone | 7877853170 |
| Mailing Fax Number | 7877853170 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | DR. JOSE ANTONIO AGUIRRE (CHIEF OF STAFF) |
| Authorized Official Telephone | 7877853170 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0982 | PR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Clinica Dental Canton Mall | Doing Business As Name - Organization |
| Street Address |
RIO HONDO PMB SUITE 452 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271827 | Suane Ann Canales | Dentist | 725 West Main Plaza Del Sol, Local 1100a, Bayamon, PR 00961 | 2019-02-18 |
| 1306337761 | Morales Dental Care LLC | Dentist | Ave Los Millones D95, Repto Alhambra, Bayamon, PR 00957 | 2018-05-22 |
| 1164887469 | Prosthodontics and Dental Implant Solutions | Dentist | Bb 25 Ave Santa Juanita, Bayamon, PR 00959 | 2015-12-31 |
| 1487990297 | Dana M Ortiz-sastre | Dentist | Ig15 Calle Crisantemo, Urb. Royal Palm, Bayamon, PR 00956-3111 | 2012-12-26 |
| 1811269277 | Levittown Dental | Dentist | Calle 11 A-7 Urb.san Souci, Bayamon, PR 00957 | 2012-02-01 |
| 1528369188 | Stones Dental Services | Dentist | Carr. 167 Km. 226, Hypermercado Pitusa De Bayamon, Bayamon, PR 00959 | 2010-11-12 |
| 1295042240 | Sandoval Dental Services, P.s.c. | Dentist | Aq-34 Ave. Laurel, Urb. Santa Juanita, Bayamon, PR 00956 | 2010-09-10 |
| 1447405907 | Veronica Rivera | Dentist | Urb. Santa Cruz B-9, Bayamon, PR 00961 | 2008-11-25 |
| 1447420419 | Metro Medical Dental Associates Inc. | Dentist | 1995 Carr # 2, Suite 2804, Bayamon, PR 00959-2804 | 2008-03-06 |
| 1124215470 | Roark Dental Services Psc | Dentist | Carr 167 Km 22.6, Oficina Dental Mypenmercado Pitusa Bayamon, Bayamon, PR 00959 | 2007-10-01 |
| Find all providers in BAYAMON | ||||
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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.