Beautiful Smile Dental Office Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3183 Issued in PR

Legal business name

BEAUTIFUL SMILE DENTAL OFFICE INC

Practice address

770 Ave Hostos
203
Mayaguez, PR 00682-1551

Phone

(787) 832-6332

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 2016By 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

Miss Zorima De Jesus-RiveraNPI 1750726584

Title

Manager

Phone

(787) 832-6332

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Zorima De Jesus Rivera

  • Other Technician
  • Mayaguez, PR
  • NPI 1750726584
  Authorized official Same address or phone
• Zully Rubi De Jesus Rivera, DDS

  • General Practice Dentistry
  • Mayaguez, PR
  • NPI 1366586638
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1144678947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 AVE HOSTOS",
            "address_2": "203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821551",
            "telephone_number": "787-832-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 AVE HOSTOS",
            "address_2": "203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821551",
            "telephone_number": "787-832-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILE DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "DE JESUS-RIVERA",
        "authorized_official_first_name": "ZORIMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-832-6332",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366586638",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osvaldo Dario Bazil-Mieses, MD
• BC Orthopedic Solutions PSC
• Miguel Angel Beauchamp Lopez, MD
• Grisselle Beauchamp, DRA
• Natalia Rachel Beauchamp, PSY.D.
• Jesus Becerra Escobar Sr., MD
• Isabel Maria Becerra Roman, MD
• Bella Vista Hopital (Bella Vista Gastroenterology Group)
• Bella Vista Hospital (Centro Preventivo Medicina de Familia)
• Bella Vista Hospital Inc

• General Practice Dentistry in Mayaguez, PR
• Providers in Mayaguez, 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 Jun 2, 2016; 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.