Trujillo Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

450 Issued in PR

Legal business name

TRUJILLO DENTAL CLINIC

Practice address

Calle Dr. Fernandez
#206
Trujillo Alto, PR 00976

Phone

(787) 755-3045

Fax

(787) 292-0277

NPI assigned

Feb 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jorge A Velazquez, DMD

Title

President

Phone

(787) 755-3045

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093788663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DR. FERNANDEZ",
            "address_2": "#206",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-755-3045",
            "fax_number": "787-292-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR. FERNANDEZ",
            "address_2": "#206",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-755-3045",
            "fax_number": "787-292-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUJILLO DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-755-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS PROVIDER ID",
            "identifier": "42573TR",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transmedic LLC
• Transmovil Services Corp.
• Transmovil Services Corp.
• Gloria Ivelisse Trinidad
• Waleska Trinidad, D.C.
• Trujillo Dental Clinic PSC
• Trujillo Medical Corporation
• Trujillo Medical Therapy Group
• Tu Cita Transport Corp
• Glenda Urena, OT1070/SI4931

• General Practice Dentistry in Trujillo Alto, PR
• Providers in Trujillo Alto, 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 Aug 22, 2020; 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.