Active NPI
Superior Dental
- Dental Clinic/Center
- Bayamon, PR
National Provider Identifier
1023698529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SUPERIOR DENTAL
- Practice address
- Urb Miraflores
Avenida Los Dominicos #8
Bayamon, PR 00957 - Phone
- (787) 636-8350
- NPI assigned
- Apr 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura F Rosado Albacarys, DMD
- Title
- President
- Phone
- (787) 636-8350
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
Urb Miraflores
Avenida Los Dominicos #8
Bayamon, PR 00957
Mailing address
Calle Sergio Cuevas Bustamante 650
Condominio Segovia Apt 904
San Juan, PR 00918
Phone (787) 636-8350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bayamon, PR
- NPI 1831725845
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1023698529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE SERGIO CUEVAS BUSTAMANTE 650",
"address_2": "CONDOMINIO SEGOVIA APT 904",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-636-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB MIRAFLORES",
"address_2": "AVENIDA LOS DOMINICOS #8",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00957",
"telephone_number": "787-636-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-09",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "ROSADO ALBACARYS",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-636-8350",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.