NPIMap

Organization Active NPI

Centro de Periodoncia E Implantes de PR, PSC

  • Periodontics
  • Guaynabo, PR
National Provider Identifier
1144596537
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2577 Issued in PR
Legal business name
CENTRO DE PERIODONCIA E IMPLANTES DE PR, PSC
Practice address
101 Ave San Patricio
Ste. 830
Guaynabo, PR 00968
Phone
(787) 781-2737
Fax
(787) 783-7320
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Reinaldo Rosas, DMD, MSNPI 1710069547
Title
President
Phone
(787) 781-2737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2577 PR Primary

Addresses

Primary practice location

101 Ave San Patricio
Ste. 830
Guaynabo, PR 00968

Mailing address

101 Ave San Patricio
Ste. 830
Guaynabo, PR 00968
Phone (787) 781-2737

National Provider Directory

National Provider Directory
Tax ID family
Centro de Periodoncia E Implantes de PR PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1144596537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "address_2": "STE. 830",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-781-2737",
            "fax_number": "787-783-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "address_2": "STE. 830",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-781-2737",
            "fax_number": "787-783-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PERIODONCIA E IMPLANTES DE PR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-781-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.