Organization Active NPI

RM Dental Practice PSC

  • Dentist
  • Bayamon, PR
National Provider Identifier
1174521827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1159 Issued in PR
Legal business name
RM DENTAL PRACTICE PSC
Practice address
Urb Lomas Verdes
Z-30 Ave Laurel
Bayamon, PR 00956
Phone
(787) 787-2384
Fax
(787) 740-0035
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heriberto J Montalvo, D.M.D.NPI 1689720864
Title
President
Phone
(787) 787-2384

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 1258 PR
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 1159 PR Primary

Addresses

Primary practice location

Urb Lomas Verdes
Z-30 Ave Laurel
Bayamon, PR 00956

Mailing address

Urb Lomas Verdes
Z-30 Ave Laurel
Bayamon, PR 00956
Phone (787) 787-2384

National Provider Directory

National Provider Directory

Locations

Z30 Ave Laurel
Bayamon, PR 00956
Phone (787) 787-2384

Practitioners & affiliated clinicians

Practitioners 6

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174521827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOMAS VERDES",
            "address_2": "Z-30 AVE LAUREL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-787-2384",
            "fax_number": "787-740-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LOMAS VERDES",
            "address_2": "Z-30 AVE LAUREL",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-787-2384",
            "fax_number": "787-740-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM DENTAL PRACTICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-787-2384",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "1258",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.