Instituto Dental del Sur.C.S.P.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1646 Issued in PR

Legal business name

INSTITUTO DENTAL DEL SUR.C.S.P.

Practice address

54 Calle Munoz Rivera
Juana Diaz, PR 00795-1608

Phone

(787) 837-2314

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By 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. Ingrid M Rosso-Tridas, D.M.D.NPI 1710984836

Title

Owner

Phone

(787) 837-2314

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ingrid M Rosso-Tridas, DMD

  • General Practice Dentistry
  • Juana Diaz, PR
  • NPI 1710984836
  NPD (past) Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1114172681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CALLE MUNOZ RIVERA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951608",
            "telephone_number": "787-837-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLE MUNOZ RIVERA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951608",
            "telephone_number": "787-837-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO DENTAL DEL SUR.C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "ROSSO-TRIDAS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-837-2314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Hernandez, PHAMD
• Holistic Experience LLC
• Hyperbarics and Wound Care Centers of Puerto Rico
• In/Patient Services LLC
• Kevin Juan Indart Rosario
• Instituto Multidisciplinario de Salud Mental I-Musa
• Instituto Terapeutico Multidisciplinario de Puerto Rico Corp
• Instituto Ultrasonido Y Mamografia (Juana Diaz Medical Imaging)
• Interventional Cardiology Group LLC
• Julia B Irizarry

• General Practice Dentistry in Juana Diaz, PR
• Providers in Juana Diaz, 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 Nov 24, 2008; 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.