Organization Active NPI

Centro de Reconstruccion Oral E Implantes

  • Dental Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1063919124
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CENTRO DE RECONSTRUCCION ORAL E IMPLANTES
Practice address
Calle 1 Esq 6 Urb Parkside Cond San Patricio II
Suite 1
Guaynabo, PR 00968
Phone
(787) 781-1831
Fax
(787) 781-5030
NPI assigned
Apr 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Dr. Jose E. Pedroza Rodriguez
Title
Presidente
Phone
(787) 781-1831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X PR Primary

Addresses

Primary practice location

Calle 1 Esq 6 Urb Parkside Cond San Patricio II
Suite 1
Guaynabo, PR 00968

Mailing address

PO Box 361357
San Juan, PR 00936-1357
Phone (787) 781-1831

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1063919124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361357",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009361357",
            "telephone_number": "787-781-1831",
            "fax_number": "787-781-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 ESQ 6 URB PARKSIDE COND SAN PATRICIO II",
            "address_2": "SUITE 1",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-781-1831",
            "fax_number": "787-781-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE RECONSTRUCCION ORAL E IMPLANTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "PEDROZA RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-781-1831",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.