JM Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2129 Issued in PR

Legal business name

JM FAMILY DENTISTRY

Practice address

349 Calle Mendez Vigo Ste 2
Dorado, PR 00646-4973

Phone

(787) 278-2119

Fax

(787) 278-2196

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jessette Melon Cruz, DDS

Title

President

Phone

(787) 278-2119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1164615761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO STE 2",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464973",
            "telephone_number": "787-278-2119",
            "fax_number": "787-278-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO STE 2",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464973",
            "telephone_number": "787-278-2119",
            "fax_number": "787-278-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JESSETTE",
        "authorized_official_middle_name": "MELON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-278-2119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Dorado, PR
• Providers in Dorado, 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 Aug 27, 2007; 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.