NPIMap

Organization Active NPI

West Coast Smiles PSC

  • Dentist
  • Aguadilla, PR
National Provider Identifier
1194059261
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2652 Issued in PR
Legal business name
WEST COAST SMILES PSC
Practice address
107 Rd. 2.8 KM. 2053 Building
Suite #1
Aguadilla, PR 00603
Phone
(787) 891-3430
Fax
(787) 891-6294
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. Marien Blanco, D.M.D
Title
Dentist/President
Phone
(787) 891-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2652 PR Primary

Addresses

Primary practice location

107 Rd. 2.8 KM. 2053 Building
Suite #1
Aguadilla, PR 00603

Mailing address

PO Box 605-703
PMB#314
Aguadilla, PR 00605
Phone (787) 891-3430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1194059261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605-703",
            "address_2": "PMB#314",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-891-3430",
            "fax_number": "787-891-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RD. 2.8 KM. 2053 BUILDING",
            "address_2": "SUITE #1",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-3430",
            "fax_number": "787-891-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST SMILES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "MARIEN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "787-891-3430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.