Organization Active NPI

Caribbean Oral and Maxillofacial Surgical Arts Institute, P.S.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Juan, PR
National Provider Identifier
1205968229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
1442 Issued in PR
Legal business name
CARIBBEAN ORAL AND MAXILLOFACIAL SURGICAL ARTS INSTITUTE, P.S.C.
Practice address
735 Ave Ponce de Leon
Suite 514
San Juan, PR 00917-5022
Phone
(787) 250-6400
Fax
(787) 250-6443
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose O. Rosado, D.M.D.NPI 1740248954
Title
President
Phone
(787) 250-6400

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 1442 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Suite 514
San Juan, PR 00917-5022

Mailing address

735 Ave Ponce de Leon
Suite 514
San Juan, PR 00917-5022
Phone (787) 250-6400

Other names 1

  • Caribbean Oral Former legal business name

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 514
San Juan, PR 00917
Phone (787) 250-6400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205968229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 514",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-250-6400",
            "fax_number": "787-250-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 514",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-250-6400",
            "fax_number": "787-250-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN ORAL AND MAXILLOFACIAL SURGICAL ARTS INSTITUTE, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-250-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribbean Oral",
            "code": "4",
            "type": "Former Legal Business 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 Aug 22, 2020; 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.