Del Norte Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D2129 Issued in PR

Legal business name

DEL NORTE DENTAL CLINIC

Practice address

Carr #2 Marginal #556
Hatillo, PR 00659

Phone

(787) 278-2119

Fax

(787) 544-7544

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jessette S Melon

Title

Dentist

Phone

(787) 278-2119

Specialties & licenses 1

Addresses

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": "1154576783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144004",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006144004",
            "telephone_number": "787-278-2119",
            "fax_number": "787-544-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 MARGINAL #556",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-278-2119",
            "fax_number": "787-544-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL NORTE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "MELON",
        "authorized_official_first_name": "JESSETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-278-2119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "D2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blanca Delgado, RPH
• Martin Delgado, RPH

• Dental Clinic/Center in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Dental Clinic/Center 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.