NPIMap

Organization Active NPI

Programa Graduado Cirugia Oral Y Maxilofacial, Upr

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan, PR
National Provider Identifier
1194025627
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
840 Issued in PR
Legal business name
PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL, UPR
Practice address
Centro Medico Rio Piedras, Recinto de Ciencias Medicas
1ER Piso, a 127
San Juan, PR 00936
Phone
(787) 758-2525
Fax
(787) 751-0858
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Dr. Atilano Leon, DMD
Title
Director
Phone
(787) 758-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 840 PR Primary

Addresses

Primary practice location

Centro Medico Rio Piedras, Recinto de Ciencias Medicas
1ER Piso, a 127
San Juan, PR 00936

Mailing address

PO Box 365067
San Juan, PR 00936-5067
Phone (787) 758-2525

Other names 1

  • ESCUELA DE MEDICINA DENTAL Other name

National Provider Directory

National Provider Directory
Tax ID family
Escuela de Medicina Dental139 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1194025627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525",
            "fax_number": "787-751-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO RIO PIEDRAS, RECINTO DE CIENCIAS MEDICAS",
            "address_2": "1ER PISO, A 127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-758-2525",
            "fax_number": "787-751-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL, UPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ATILANO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-758-2525",
        "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": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESCUELA DE MEDICINA DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.