Four Molar PSC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1997 Issued in PR

Legal business name

FOUR MOLAR PSC

Practice address

429 Calle Rey Luis
La Villa de Torrimar
Guaynabo, PR 00969-3170

Phone

(787) 786-8540

Fax

(787) 995-0431

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rafael E Ramirez Diaz, DMDNPI 1467450809

Title

Owner

Phone

(787) 786-8540

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rafael E Ramirez Diaz

  • Oral and Maxillofacial Surgery (Dentist)
  • Bayamon, PR
  • NPI 1467450809
  NPD (past) Authorized official

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1164814042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 CALLE REY LUIS",
            "address_2": "LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693170",
            "telephone_number": "787-786-8540",
            "fax_number": "787-995-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 CALLE REY LUIS",
            "address_2": "LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693170",
            "telephone_number": "787-786-8540",
            "fax_number": "787-995-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR MOLAR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ DIAZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-786-8540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Fonseca Morales, 0594P
• Raul A Fontane, DMD
• Juan Fontanez Medina, 1102B
• Carlos Fontanez Rivas, 0616P
• Migdalia Fort, MD
• Samariz Fragoso, OT
• Eldy Franceschi-Santiago, D.C.
• Lindsay Marie Francis, PA-C
• Paul G Fret Delgado, 0571P
• Kristen Friscia, MPH

• Oral and Maxillofacial Surgery (Dentist) in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.