Organization Active NPI

Perioimplantpr

  • Periodontics
  • Bayamon, PR
National Provider Identifier
1184342925
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIOIMPLANTPR
Practice address
B8 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 269-8687
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Ricardo Josev Almodovar Colon, DMD, MSNPI 1730619685
Title
Owner
Phone
(787) 647-0814

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X Primary

Addresses

Primary practice location

B8 Calle Santa Cruz
Bayamon, PR 00961-6902

Mailing address

B8 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 269-8687

Other practice location 1

82 Calle Ashford N
Guayama, PR 00784-4416
Phone (787) 864-1590

Other practice location 2

201 Ave Domenech
San Juan, PR 00918-3505
Phone (787) 753-1419

National Provider Directory

National Provider Directory

Locations

B8 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 269-8687

82 Calle Ashford N
Guayama, PR 00784
Phone (787) 314-7212

201 Ave Domenech
San Juan, PR 00918
Phone (787) 274-0634

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1184342925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B8 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-269-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B8 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-269-8687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Calle Ashford N",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "007844416",
            "country_code": "US",
            "telephone_number": "787-864-1590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Ave Domenech",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183505",
            "country_code": "US",
            "telephone_number": "787-753-1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERIOIMPLANTPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "ALMODOVAR COLON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "JOSEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-647-0814",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "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 18, 2022; 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.