RG Dental PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1946 Issued in PR

Legal business name

RG DENTAL PSC

Practice address

A1 Avenida Agustin Perez Andino
Villas de Rio Grande
Rio Grande, PR 00745

Phone

(787) 887-7907

Fax

(787) 887-4676

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David SotoNPI 1033218961

Title

President

Phone

(787) 887-4020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David L Soto, DMD

  • General Practice Dentistry
  • Rio Grande, PR
  • NPI 1033218961
  NPD (past) Authorized official

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1205207487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2252",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452239",
            "telephone_number": "787-887-4020",
            "fax_number": "787-887-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A1 AVENIDA AGUSTIN PEREZ ANDINO",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-7907",
            "fax_number": "787-887-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RG DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-887-4020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "10033218961",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul Medina
• Red Management Group Corp
• Renaissance Medical Group PR Corporation
• Carmen Haydee Resto, SLP
• Edmundo Rafael Reyes, M.D.
• RG Prosthetics MFG. Corp
• Rio Grande Diagnostic CSP
• Rio Grande Medical Group
• Rio Grande Medical Group
• Rio Grande Medical Services CSP

• Dental Clinic/Center in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.