NPIMap

Organization Active NPI

Eg Dental Holdings, P.S.C.

  • General Practice Dentistry
  • Caguas, PR
National Provider Identifier
1083742688
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2042 Issued in PR
Legal business name
EG DENTAL HOLDINGS, P.S.C.
Practice address
Calle Acosta Esq. Ruiz Belvis 43
Caguas, PR 00725
Phone
(787) 743-2444
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Ellen Celeste Gotay, D.D.S.
Title
Owner
Phone
(787) 743-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2042 PR Primary

Addresses

Primary practice location

Calle Acosta Esq. Ruiz Belvis 43
Caguas, PR 00725

Mailing address

Calle Acosta Esq. Ruiz Belvis 43
Caguas, PR 00725
Phone (787) 743-2444

National Provider Directory

National Provider Directory

Locations

43 Calle Ruiz Belvis
Caguas, PR 00725
Phone (787) 653-0070

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1083742688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ACOSTA ESQ. RUIZ BELVIS 43",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ACOSTA ESQ. RUIZ BELVIS 43",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EG DENTAL HOLDINGS, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "GOTAY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-743-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.