Programa Graduado En Odonologia General GPR

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROGRAMA GRADUADO EN ODONOLOGIA GENERAL GPR

Practice address

Medical Sciences Campus Dr. Guillermo Arbona Building
Barrio Monacillos Office A163 San Juan, Puerto Rico
San Juan, PR 00936-9998

Phone

(787) 758-2525

Fax

(787) 641-1181

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Doris M Garcia

Title

Secretaria Administrativa

Phone

(787) 758-2525

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1053770875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525",
            "fax_number": "787-641-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL SCIENCES CAMPUS DR. GUILLERMO ARBONA BUILDING",
            "address_2": "BARRIO MONACILLOS OFFICE A163 SAN JUAN, PUERTO RICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009369998",
            "telephone_number": "787-758-2525",
            "fax_number": "787-641-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA GRADUADO EN ODONOLOGIA GENERAL GPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARIA ADMINISTRATIVA",
        "authorized_official_telephone_number": "787-758-2525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.