VR Smile Design

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2858 Issued in NU

Legal business name

VR SMILE DESIGN

Practice address

Office Park III
Suite 205 Road #2
Mayaguez, PR 00680

Phone

(787) 652-5550

Fax

(787) 652-5550

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Van Rhyn

Title

President

Phone

(787) 652-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

VR Smile Design2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• VR Smile Design Inc.

  • Dental Clinic/Center
  • Mayaguez, PR
  • NPI 1710218581
  NPD tax ID

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1043509102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE CALAF",
            "address_2": "SUITE 361",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-652-5550",
            "fax_number": "787-652-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFFICE PARK III",
            "address_2": "SUITE 205 ROAD #2",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-5550",
            "fax_number": "787-652-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VR SMILE DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "VAN RHYN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-652-5550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": "2858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154639524",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Optima
• Vision Veinte-Veinte
• Vita Care,LLC (CTS Mayaguez)
• Vitta Center Group
• Antonio Alberto Vivaldi, MD
• VR Smile Design Inc.
• VR Wellness and Medical Service, LLC
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2067)
• Wal-Mart Puerto Rico Inc (Vision Center 30-2067)
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-2067)

• Dental Clinic/Center in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.