SMILE DESIGN ORTHODONTICS, LLC (NPI# 1891347191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891347191 |
| Entity Type | Organization |
| Organization Name | SMILE DESIGN ORTHODONTICS, LLC |
| Practice Address |
Ave 65 Infanteria Centro Comercial Los Flamboyanes Ste 12 San Juan PR 00923 |
| Mailing Address |
576 Arterial B Avenue Coliseum Tower #2203 San Juan PR 00918 |
| Practice Telephone | 7877581560 |
| Mailing Telephone | 7876910781 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | DR. ANDREA GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 7876910781 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891102604 | Smile Design Orthodontics, LLC | Dentist | 1047 W Gallman Rd, Hazlehurst, MS 39083-9452 | 2014-07-14 |
| Street Address |
AVE 65 INFANTERIA CENTRO COMERCIAL LOS FLAMBOYANES STE 12 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427036045 | Luis A Llanos | Registered Nurse | Ave 65 Infanteria, K-3.4 Bo Sabana Llana, San Juan, PR 00924 | 2006-01-04 |
| 1386909679 | Andrea Gonzalez Carbonell | Dentist | Ave 65 Infanteria, 12 Los Flamboyanes, San Juan, PR 00918 | 2012-07-12 |
| 1023219409 | Victor L Rosario | Pharmacist | Ave 65 Infanteria, Num 1185, San Juan, PR 00924 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
| 1023624442 | Growing Up Therapy and Research Center | Occupational Therapy Assistant | 322 Calle Badajoz, Valencia Suites A-1, San Juan, PR 00923 | 2020-09-21 |
| 1417574351 | A R Med Transport | Non-emergency Medical Transport (VAN) | Calle Barranquitas 516 Reparto America, Reparto America, Sj, PR 00923 | 2020-06-26 |
| 1285255653 | Jorge Luis Reyes-mendoza | Registered Nurse | Lopez Sicardo Ave. Bldg. B18 Apt. 208, Res. Manuel A. Perez, San Juan, PR 00923 | 2020-04-27 |
| 1497389290 | Ileana Burgos | Psychologist | Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923 | 2020-03-02 |
| 1295390292 | Nathalie E Alvarez | Speech-Language Pathologist | Calle Santa Rosa, Urb Altamesa, San Juan, PR 00923 | 2019-05-06 |
| 1457821431 | Jonathan Guzman Cruz | Pharmacist | Montehiedra, Los Romeros Ave. Rio Piedras, San Juan, PR 00923 | 2018-12-03 |
| 1508352667 | Anthony Francisco Rivera Betancourt Sr. | Non-emergency Medical Transport (VAN) | Calle Barranquitas, 516 Reparto America, San Juan, PR 00923 | 2018-07-02 |
| 1811482029 | Enid M. Gonzalez | Dietitian, Registered | Calle De Diego 369 Torre San Francisco, Suite 507, San Juan, PR 00923 | 2018-06-29 |
| 1407347909 | Hildabelis Martinez-diaz | Pathology | 771 Calle Teodoro Aguilar, Urb. Los Maestros, San Juan, PR 00923 | 2018-05-21 |
| Find all providers in zip 00923 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828782 | Condado Orthodontics Psc | Dentist | 1452 Ave Ashford Ste 406, San Juan, PR 00907 | 2017-08-23 |
| 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 |
| 1477864478 | Valley Orthodontics & Dentofacial Orthopedics, P.a. | Dentist | 1203 N Raul Longoria Rd Ste K, San Juan, TX 78589-3742 | 2010-06-24 |
| 1346400710 | Jazmin Esther Oliva | Dentist | Upr School of Dental Medicine Rcm, Suite B 130 C Terrenos De Ciencias Medicas, San Juan, PR 00935-0001 | 2008-06-10 |
| 1538281852 | Jose E Lopez | Dentist | 264 Ave Jesus T Pinero, San Juan, PR 00918-4004 | 2007-04-06 |
| 1992833750 | Amanda L.. Rivera Circuns | Dentist | 1452 Ave Ashford Ste 2, San Juan, PR 00907-1556 | 2007-03-01 |
| 1629117437 | Pedro A. Ramirez-rivera | Dentist | 989 Calle Luis F Machicote, 2da Ext. Country Club, San Juan, PR 00924-3423 | 2007-02-06 |
| 1578601258 | Jorge Fortuno | Dentist | 913 Duke St, University Gardens, San Juan, PR 00927 | 2007-02-02 |
| 1871640003 | Ruben O Colon | Dentist | 603 Calle Lodi, Villa Capri, San Juan, PR 00924-3842 | 2007-01-03 |
| 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.