Odontologia General Y Pediatrica

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ODONTOLOGIA GENERAL Y PEDIATRICA

Practice address

Clinica Las America
400 Ave Roosevelt Suite 505
San Juan, PR 00918

Phone

(787) 250-5055

Fax

(787) 250-0511

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Lionel Martinez

Title

Dueno

Phone

(787) 250-5055

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043373814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CLINICA LAS AMERICA",
            "address_2": "400 AVE ROOSEVELT SUITE 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-250-5055",
            "fax_number": "787-250-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA LAS AMERICA",
            "address_2": "400 AVE ROOSEVELT SUITE 505",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-250-5055",
            "fax_number": "787-250-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODONTOLOGIA GENERAL Y PEDIATRICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-250-5055",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.