Edge Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

EDGE ORTHODONTICS

Practice address

1910 Ave Jesus T Pinero Ste 103
San Juan, PR 00921-1100

Phone

(787) 427-9211

NPI assigned

Dec 10, 2024

Last updated

Jul 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicolle Celeste Reyes MelendezNPI 1679118806

Title

President

Phone

(787) 367-2067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nicolle Celeste Reyes Melendez

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, PR
  • NPI 1679118806
  NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1205642626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 AVE JESUS T PINERO STE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 AVE JESUS T PINERO STE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211100",
            "telephone_number": "787-427-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "REYES MELENDEZ",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-367-2067"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Javier Echeverria, M.D.
• Eco Clean PR LLC
• Ecohealth Medical Group LLC
• Ecohealth Medical System LLC
• Edgar C Hernandez PSC Neurology
• Edilfredo Hernandez (Laboratorio Clinico Paseo Dorado)
• Educ-KM Therapy LLC
• Edwards Lifesciences Puerto Rico Corporation
• Viviana Edwards, SRNA
• Euclides Effio Jr., M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.