FAMILY PRO SMILES (NPI# 1790244119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790244119 |
| Entity Type | Organization |
| Organization Name | FAMILY PRO SMILES |
| Practice Address |
Edificio Colon Plaza Carr 110 Km 12.4 Moca PR 00676-0000 |
| Mailing Address |
Po Box 400 Moca PR 00676-0400 |
| Practice Telephone | 7878772500 |
| Practice Fax Number | 7878772505 |
| Mailing Telephone | 7878772500 |
| Mailing Fax Number | 7878772505 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Authorized Official Name | DR. CARLOS M NIEVES MENDEZ (PRESIDENT) |
| Authorized Official Telephone | 7878772500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
EDIFICIO COLON PLAZA CARR 110 KM 12.4 |
| City | MOCA |
| State | PR |
| Zip Code | 00676-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869706 | Roxana Gonzalez | Psychologist | Carretera 444, Barrio Cuchillas, Moca, PR 00676 | 2020-07-23 |
| 1316562382 | Cristal Imar Hernandez-hernandez | Student in an Organized Health Care Education/Training Program | Carr 421 Km 0.1 Bo Capa Int, Moca, PR 00676 | 2020-06-15 |
| 1316562093 | Jose Antonio Hernandez | Family Medicine | Calle Monsenor #3 Moca Puerto Rico 00676, Calle Reinita #30 Moca Puerto Rico 00676, Moca, PR 00676 | 2020-06-09 |
| 1437784733 | Reinaldo Hernandez | Student in an Organized Health Care Education/Training Program | Paseo Dr. Celso Barbosa, San Juan, PR 00676 | 2020-03-06 |
| 1275164188 | Stephanie Nieves Ferrer | Pharmacist | Carr. 111 Km. 7.8 Bo. Voladoras, Moca, PR 00676 | 2020-01-29 |
| 1275173437 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Moca Professional Plaza, Pr111 Int Pr 110 Km 14.5, Moca, PR 00676 | 2020-01-15 |
| 1871132001 | Mayte Calero-recio | Pharmacist | 72 Calle Chemary, Moca, PR 00676 | 2020-01-06 |
| 1851930903 | Lorena Rosa-velez | Pharmacist | Carr. 420 Km 0.5 Bo. Voladoras, Moca, PR 00676 | 2020-01-06 |
| 1265071237 | Yelitza Hernandez Soto | Pharmacist | Carr. 420 Km 2.2, Bo. Voladoras, Moca, PR 00676 | 2019-12-23 |
| 1629616362 | Baucage Emg Medical LLC | Physical Medicine & Rehabilitation | Calle Concepcion Vera #550, Hospital San Carlos Borromeo, Moca, PR 00676 | 2019-12-12 |
| Find all providers in zip 00676 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255816385 | Advanced Dental Service | Clinic/Center | Carr 110 Int Pr 125, Moca Medical Plaza 211, Moca, PR 00676 | 2018-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401942 | Innovare Dental | Clinic/Center | Edif Tropical Plaza Suite 3, Carr 2 Marginal 272, Hatillo, PR 00659 | 2020-03-06 |
| 1275177990 | Jorge Galiber | Clinic/Center | 167 Calle San Felipe, Arecibo, PR 00612-4680 | 2019-11-06 |
| 1306495023 | Dc Dental, Inc | Clinic/Center | 61 Calle Domingo Caceres W, Carolina, PR 00985-6010 | 2019-09-05 |
| 1043868722 | Paola Berrios Dmd Psc | Clinic/Center | Plaza Del Carmen Mall Suite 22 Carr 172, Caguas, PR 00725 | 2019-08-27 |
| 1538715404 | Lrc Esthetic Dental Care | Clinic/Center | 576 Calle Cesar Gonzalez Ste 301, San Juan, PR 00918-3757 | 2019-08-15 |
| 1134687379 | Gq Dental Clinic P.s.c. | Clinic/Center | Marina Plaza Suite 16, Barrio Rincon, Gurabo, PR 00778-0961 | 2019-03-06 |
| 1982168951 | Natalia V. Ramirez Rodriguez, Dentistry, LLC | Clinic/Center | Ext 1 Calle Sol, San German, PR 00683 | 2019-01-24 |
| 1063919124 | Centro De Reconstruccion Oral E Implantes | Clinic/Center | Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968 | 2018-04-06 |
| 1912408725 | Mv Dental, LLC | Clinic/Center | 272 Marginal, Edif. Tropical Plaza, Suite 3, Hatillo, PR 00659 | 2018-02-27 |
| 1902304306 | Dml Dental Services LLC | Clinic/Center | 544 Aldebaran Street, Urb. Altamira, Edif. Edgewell, Ofic. 102, San Juan, PR 00920 | 2018-01-31 |
| 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.