Ashford Periodontics and Implants PSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

003156 Issued in PR

Legal business name

ASHFORD PERIODONTICS AND IMPLANTS PSC

Practice address

29 Calle Washington Ste 709
San Juan, PR 00907-1503

Phone

(787) 400-3622

NPI assigned

Nov 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Maria Victoria Diaz, DMDNPI 1295093755

Title

Periodontist

Phone

(787) 403-6228

Specialties & licenses 1

Addresses

Practitioners 1

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

• Maria V Diaz, DMD

  • Periodontics
  • Bonita Springs, FL
  • NPI 1295093755
  NPD (past) Authorized official

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1063925758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE",
            "address_2": "CAPITOLIO PLAZA APT 2204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-403-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON STE 709",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071503",
            "telephone_number": "787-400-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD PERIODONTICS AND IMPLANTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "787-403-6228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "003156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashford Endocrine & Metabolic Laboratory Inc (Ashford Medical Laboratory)
• Ashford Gastroenterology Services
• Ashford Medical Center Radiology Offices PSC
• Ashford Oral & Maxillofacial Surgery LLC
• Ashford Pediatric Group Partnership
• Ashford Radiology PSC
• Ashford Sports & Wellness Medicine Center
• Asociacion de Maestros de P R
• Asociacion Hospital del Maestro
• Asociacion Hospital del Maestro Inc (Hospital del Maestro)

• Periodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.