Puerto Rico Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PUERTO RICO DENTAL CARE

Practice address

Via Mirta 3 DS-1
Villa Fontana
Carolina, PR 00983

Phone

(787) 776-0570

Fax

(787) 776-0570

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan C Ortiz de la Renta, DDSNPI 1467553669

Title

Presidente

Phone

(787) 776-0570

Specialties & licenses 1

Addresses

Practitioners 1

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

• Juan C Ortiz de la Renta, D.D.S.

  • General Practice Dentistry
  • Carolina, PR
  • NPI 1467553669
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1215064605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8480",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100480",
            "telephone_number": "787-776-0570",
            "fax_number": "787-776-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA MIRTA 3 DS-1",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-776-0570",
            "fax_number": "787-776-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ DE LA RENTA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-776-0570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Therapy Group Inc
• Promed Carolina
• Promo Salud Inc
• Prorad Imaging, PSC
• Luciano Puccio Hernandez, M.D.
• Puerto Rico Health Management
• Anabel Puig, PH.D
• Clarissa Pulliza, R.PH
• Pulmiserv PSC
• Pulmonary Diagnostic & Rehabilitation, Corp.

• General Practice Dentistry in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.