Clinica de Cirugia Oral Y Maxilofacial de Caparra CSP

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

CLINICA DE CIRUGIA ORAL Y MAXILOFACIAL DE CAPARRA CSP

Doing business as

Cirugia Oral y Maxilofacial de Caparra

Practice address

33 Calle Resolucion
Doral Bank Plaza Suite 800
San Juan, PR 00920-2706

Phone

(787) 622-0552

Fax

(787) 622-0555

NPI assigned

Feb 12, 2009

Last updated

Feb 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo J Jimenez-Bosch, DMDNPI 1891998621

Title

President

Phone

(787) 622-0552

Specialties & licenses 1

Addresses

Other names 1

• Cirugia Oral y Maxilofacial de Caparra Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo Javier Jimenez-Bosch, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan, PR
  • NPI 1891998621
  Medicare reassignment NPD Authorized official
• Laura I Morales, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, PR
  • NPI 1316232713
  NPD (past)

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1093954125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CALLE RESOLUCION",
            "address_2": "SUITE 800",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202706",
            "telephone_number": "787-622-0552",
            "fax_number": "787-622-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE RESOLUCION",
            "address_2": "DORAL BANK PLAZA SUITE 800",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202706",
            "telephone_number": "787-622-0552",
            "fax_number": "787-622-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE CIRUGIA ORAL Y MAXILOFACIAL DE CAPARRA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-BOSCH",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-622-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cirugia Oral y Maxilofacial de Caparra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Antonio Clavell, M.D.
• Zuania Y Clemente, DIETITIAN
• Consuelo Climent-Peris, MD
• Clinic Management Corporation of America (El Amal Health Clinic)
• Clinica de Cirugia Oral Y Maxilofacial de Caparra Corp
• Clinica de Medicina Deportiva del Caribe Inc.
• Clinica de Medicina Interna Dr. Martin Lugo, PSC
• Clinica de Neurologia Y Medicina Neuromuscular, Inc.
• Clinica de Salud Mental de la Comunidad
• Clinica de Terapia Fisica Inc

• Oral and Maxillofacial Surgery Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.