NPIMap

Organization Active NPI

Servicios Especializados de Ortodoncia

  • Dental Clinic/Center
  • San Juan, PR
National Provider Identifier
1003004714
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
864 Issued in PR
Legal business name
SERVICIOS ESPECIALIZADOS DE ORTODONCIA
Practice address
Office 12 65 Infanteria Rio Piedras
Cent Com Los Flamboyanes
San Juan, PR 00924-3314
Phone
(178) 775-8156
Fax
(178) 775-8151
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Victor L Acevedo, DMD ,MS
Title
President
Phone
(787) 758-1560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 864 PR Primary

Addresses

Primary practice location

Office 12 65 Infanteria Rio Piedras
Cent Com Los Flamboyanes
San Juan, PR 00924-3314

Mailing address

Office 12 65 Infanteria
Cent Com Los Flamboyanes
San Juan, PR 00924-3314
Phone (178) 775-8156

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1003004714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE 12 65 INFANTERIA",
            "address_2": "CENT COM LOS FLAMBOYANES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243314",
            "telephone_number": "178-775-8156",
            "fax_number": "178-775-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE 12 65 INFANTERIA RIO PIEDRAS",
            "address_2": "CENT COM LOS FLAMBOYANES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243314",
            "telephone_number": "178-775-8156",
            "fax_number": "178-775-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS ESPECIALIZADOS DE ORTODONCIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17877581560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD ,MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.