Organization Active NPI

Jimenez, Saldana, Rodriguez, Dentistas CSP

  • General Practice Dentistry
  • Caguas, PR
National Provider Identifier
1033265681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JIMENEZ, SALDANA, RODRIGUEZ, DENTISTAS CSP
Practice address
30 Calle Terminal
Caguas, PR 00725-2627
Phone
(787) 743-7777
Fax
(787) 745-3405
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fernando Jorge Jimenez, DMD
Title
Administrator
Phone
(787) 743-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X PR Primary

Addresses

Primary practice location

30 Calle Terminal
Caguas, PR 00725-2627

Mailing address

53 Ave Esmeralda, Box 51
Urb. Munoz Rivera
Guaynabo, PR 00969-4429
Phone (787) 743-7777

Other names 1

  • centro dental familiar Doing business as

National Provider Directory

National Provider Directory

Locations

30 Calle Terminal
Caguas, PR 00725
Phone (787) 743-7777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033265681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 AVE ESMERALDA, BOX 51",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-743-7777",
            "fax_number": "787-745-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE TERMINAL",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252627",
            "telephone_number": "787-743-7777",
            "fax_number": "787-745-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ, SALDANA, RODRIGUEZ, DENTISTAS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-743-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "centro dental familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.